AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST (NPI# 1568702017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702017 |
| Entity Type | Organization |
| Organization Name | AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST |
| Practice Address |
1010 Murray Ave San Luis Obispo CA 93405-1806 |
| Mailing Address |
Po Box 22405 Saint Louis MO 63126-0405 |
| Practice Telephone | 8055467600 |
| Mailing Telephone | 8057107308 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | WENDY ANTONIO (BOOKKEEPER) |
| Authorized Official Telephone | 8057107308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
05D0921025 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269483 | Affiliated Pathologists of The Central Coast | Pathology | 3701 S Higuera St, San Luis Obispo, CA 93401-7462 | 2016-04-01 |
| 1518207067 | Affiliated Pathologists of The Central Coast | Pathology | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2013-02-20 |
| 1013257567 | Affiliated Pathologists of The Central Coast | Pathology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2013-02-20 |
| 1942540497 | Affiliated Pathologists of The Central Coast | Pathology | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2013-02-20 |
| Street Address |
1010 MURRAY AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687354 | Paul J Wolfrom | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2006-02-08 |
| 1306498464 | Megan Christine Smith | Registered Nurse | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2019-07-09 |
| 1982102000 | Shilpa Patel | Pharmacist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2018-01-23 |
| 1326572116 | Christopher Walheim | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2017-04-18 |
| 1285088211 | Cindy Hsiang Su | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2016-04-15 |
| 1780046243 | Olga Grigorieva Olson | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2016-03-24 |
| 1114393279 | Lisa Randolph | Nurse Practitioner | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-08-12 |
| 1568856474 | Kyle Richard Kelson | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-03-28 |
| 1154736734 | Sean Andrews | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-06-23 |
| 1801210026 | Justin Keadle | Physician Assistant | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| 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 |
|---|---|---|---|---|
| 1780924233 | Western Pathology Inc | Pathology | 3440 Empresa Dr, Suite B, San Luis Obispo, CA 93401-7345 | 2013-02-20 |
| 1356607444 | Ryan Scott Berry | Pathology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2012-04-03 |
| 1871743435 | Central Coast Pathology Consultants, Inc. | Pathology | 3701 S Higuera St, San Luis Obispo, CA 93401-7462 | 2008-09-19 |
| 1851427595 | Johanna Baran Moore | Pathology | 3701 S Higuera St, San Luis Obispo, CA 93401-7462 | 2007-02-26 |
| 1780611533 | Ronald E Rocha | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-27 |
| 1740225648 | Steven B Jobst | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-17 |
| 1164465340 | Dawn L Ellerson | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-14 |
| 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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| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST.
| 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.