Healthcare Provider Details

I. General information

NPI: 1144432832
Provider Name (Legal Business Name): UROLOGY ASSOCIATES OF SILICON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 SAMARITAN DR STE 200
SAN JOSE CA
95124
US

IV. Provider business mailing address

2581 SAMARITAN DR STE 200
SAN JOSE CA
95124
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-2030
  • Fax: 408-358-2036
Mailing address:
  • Phone: 408-358-2030
  • Fax: 408-358-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: KERSTEN J KRAFT
Title or Position: DOCTOR
Credential: MD
Phone: 408-358-2030