CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI# 1457744120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457744120 |
Entity Type | Organization |
Organization Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
Practice Address |
180 Rowland Way Novato CA 94945-5009 |
Mailing Address |
Po Box 26060 Fresno CA 93729-6060 |
Practice Telephone | 4152091300 |
Mailing Telephone | 5594554065 |
Mailing Fax Number | 7706669103 |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |
Authorized Official Name | JOHN C. 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 | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
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 |
1194120451 | California Pacific Pathology Medical Group | Pathology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2014-10-29 |
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 |
180 ROWLAND WAY |
City | NOVATO |
State | CA |
Zip Code | 94945-5009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225011422 | Richard Bodony | Emergency Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2005-11-22 |
1124577259 | Cep America - California | Emergency Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2016-09-30 |
1053766493 | Jacob R Adams Do Inc | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2016-05-03 |
1518253012 | Crystal Chang | Radiology | 180 Rowland Way, Novato, CA 94945-5009 | 2011-06-22 |
1285924290 | Ari Kane | Radiology | 180 Rowland Way, Novato, CA 94945-5009 | 2011-04-11 |
1740590306 | North Bay Hospital Medicine Group, Inc. | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2010-10-18 |
1104059153 | Sutter Bay Hospitals | General Acute Care Hospital | 180 Rowland Way, Novato, CA 94945-5009 | 2009-08-25 |
1558595090 | Jacob Richard Adams | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2009-05-12 |
1679731228 | Nichole Desmond | Dietitian, Registered | 180 Rowland Way, Novato, CA 94945-5009 | 2008-05-30 |
1174793509 | Maya Noyman-fain | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2008-02-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
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Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144326471 | Marin Medical Laboratories | Pathology | 1615 Hill Road, Suite B, Novato, CA 94947 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.