Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Specialty Medical Group Central California - Dept of Urology

Organization Pediatric Urology Physician · NPI 1306029285

Specialty Medical Group Central California - Dept of Urology provides Pediatric Urology Physician services in Madera, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

9300 Valley Childrens Pl MB16
Madera, CA 93636-8761 Not confirmed with CMS for 18 years — call before visiting
Phone: (559) 353-6195
Fax: (559) 353-6196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X (CA)

Record details

NPI number1306029285
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpecialty Medical Group Central California Inc
Authorized official Ralph Diaz — President And Medical Director · (559) 353-5700
NPI enumeratedDecember 13, 2007
Last updated in NPPESDecember 13, 2007
Mailing address9300 Valley Childrens Pl, Mb16, Madera, CA 93636-8761

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