CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI# 1194120451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194120451 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Practice Address |
30 Mark West Springs Rd Santa Rosa CA 95403-1436 |
| Mailing Address |
Po Box 26060 Fresno CA 93729-6060 |
| Practice Telephone | 7075764315 |
| Practice Fax Number | 7075419112 |
| Mailing Telephone | 7075764315 |
| Mailing Fax Number | 7075419112 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | JOHN CHRISTOPHER MORETTO (MANAGING PARTNER) |
| Authorized Official Telephone | 4156002200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477625887 | California Pacific Pathology Medical Group | Pathology | Castro Duboce St, San Francisco, CA 94114 | 2006-11-14 |
| 1457744120 | California Pacific Pathology Medical Group | Pathology | 180 Rowland Way, Novato, CA 94945-5009 | 2015-03-05 |
| 1710300504 | California Pacific Pathology Medical Group | Pathology | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2014-01-29 |
| 1649357971 | California Pacific Pathology Medical Group | Pathology | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2006-11-01 |
| 1164509337 | California Pacific Pathology Medical Group | Pathology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2006-11-01 |
| 1083671713 | California Pacific Pathology Medical Group | Pathology | 3700 California St, San Francisco, CA 94118 | 2006-04-27 |
| Street Address |
30 MARK WEST SPRINGS RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422008 | Mitchell Edward Bailey | Surgery | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2006-01-19 |
| 1588280374 | Richard Parke | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-06-17 |
| 1093340366 | Erin Renee Flora | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-03-07 |
| 1497390892 | Samantha Caceres | Registered Nurse | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-10 |
| 1982248761 | Jayson Geronimo Santiago | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-04 |
| 1396206165 | Barbara Walston | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403 | 2019-03-26 |
| 1134625965 | Vanessa Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2018-04-02 |
| 1609313212 | Katherine Schwartz | Physical Therapist | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2017-01-21 |
| 1306107271 | Frederick William Romberg | Anesthesiology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2012-06-06 |
| 1740509710 | Khushdeep Kaur Grewal | Family Medicine | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642988 | Eric Yeung | Pathology | 233 Coral View St, Monterey Park, CA 91755-5647 | 2020-06-07 |
| 1164058640 | Sean Dietrich Owens | Pathology | 1219 Harvard Dr, Davis, CA 95616-1710 | 2020-03-17 |
| 1427602036 | Healthcare Clinical Laboratory Inc. | Pathology | 326 N Vermont Ave # B, Los Angeles, CA 90004-3511 | 2019-07-31 |
| 1417509266 | He Yang | Pathology | 23616 Clearidge Dr, Valencia, CA 91354-1620 | 2019-07-11 |
| 1588221899 | Progenabiome, LLC | Pathology | 1845 Knoll Dr, Ventura, CA 93003-7321 | 2019-05-22 |
| 1932624145 | Pogos Martinyan | Pathology | 31344 Via Colinas Ste 104, Westlake Village, CA 91362-6853 | 2017-08-08 |
| 1700326576 | Thomas Wayne Bruice | Pathology | 6783 Palermi Pl, Carlsbad, CA 92011-4062 | 2017-02-27 |
| 1184041501 | Shohei Ikoma | Pathology | 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | 2014-03-24 |
| 1376973040 | Pch Diagnostic Center | Pathology | 2990 E. Pacific Coast Hwy, Suite B, Long Beach, CA 90804 | 2013-11-18 |
| 1386949717 | Russell Allen Brown | Pathology | 4180 Network Cir, Sca18-3236, Santa Clara, CA 95054-1778 | 2011-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP.
| 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.