YOSEMITE PATHOLOGY MEDICAL GROUP, INC. (NPI# 1134394190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134394190 |
| Entity Type | Organization |
| Organization Name | YOSEMITE PATHOLOGY MEDICAL GROUP, INC. |
| Practice Address |
768 Mountain Ranch Rd San Andreas CA 95249-9707 |
| Mailing Address |
Po Box 576768 Modesto CA 95357-6768 |
| Practice Telephone | 2095771200 |
| Practice Fax Number | 2095776517 |
| Mailing Telephone | 2095771200 |
| Mailing Fax Number | 2095776517 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | ROBERT COLLETTI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2095771200 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | A24567 | CA | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | G66626 | CA | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | G27612 | CA | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | G37943 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0017748 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417122730 | Yosemite Pathology Medical Group, Inc. | Clinical Medical Laboratory | 825 Delbon Ave, Turlock, CA 95382-2016 | 2008-04-28 |
| Street Address |
768 MOUNTAIN RANCH RD |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007994 | Shirley H. White | Nurse Anesthetist, Certified Registered | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2005-10-13 |
| 1164048807 | Lindell Kathryn Krpan | Physician Assistant | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2020-06-18 |
| 1073000105 | Radiologica Inc. | Radiology | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2018-04-14 |
| 1528599735 | Yosemite Valley Medical Services A Medical Corporation | Emergency Medicine | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2017-03-21 |
| 1043676075 | Galen Inpatient Physicians, Inc. | Internal Medicine | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2016-01-06 |
| 1942690300 | Randy Helwig | General Acute Care Hospital | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2015-01-23 |
| 1255730545 | Mark Twain Medical Center | Clinic/Center | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2014-08-22 |
| 1518209873 | Cep America - California | Emergency Medicine | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2013-03-25 |
| 1497005268 | Thomas King | Registered Nurse | 768 Mountain Ranch Rd, San Andreas, CA 95249 | 2012-09-19 |
| 1205107489 | William M Griffin Md PC | Specialist | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2012-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| City | SAN ANDREAS |
| Zip Code | 95249 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.