ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC (NPI# 1609945575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609945575 |
| Entity Type | Organization |
| Organization Name | ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC |
| Practice Address |
1100 W Stewart Dr Dept of Pathology Orange CA 92868-3849 |
| Mailing Address |
5856 Corporate Ave Suite 200 Cypress CA 90630-4754 |
| Practice Telephone | 7147718176 |
| Mailing Telephone | 7142297619 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. LISA KOHORN (PRESIDENT) |
| Authorized Official Telephone | 7147718176 |
| Authorized Official Credential | MD |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA | 05D0579177 | 01 |
| CA | GR0015551 | 05 | |
| CA | GR0015550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407938996 | Orange County Pathology Medical Group, Inc | Clinical Medical Laboratory | 805 W La Veta Ave, Suite 104, Orange, CA 92868-3928 | 2006-10-20 |
| Street Address |
1100 W STEWART DR DEPT OF PATHOLOGY |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331385 | Lianjie Du | Psychiatry & Neurology | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2005-07-29 |
| 1861025884 | Quentin Daniel Germann | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2020-02-18 |
| 1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
| 1932731841 | Lerrena Deana Rosales | Registered Nurse | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-08 |
| 1366091035 | Elaine F Cervantes | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2019-09-05 |
| 1851944821 | Joyce Chung | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2019-07-18 |
| 1114482635 | Critical Care Psychological Specialists Inc | Psychologist | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2019-02-08 |
| 1003398538 | Sarah Stephens | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-08-31 |
| 1245738558 | Morgan Pierce | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2018-02-01 |
| 1528566122 | Kyle Daniels | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1770954042 | Neshat Nilforoushan | Pathology | 101 The City Dr S, Bldg 1, 3rd Flr, Rm 3003, Orange, CA 92868-3201 | 2015-10-13 |
| 1114395688 | Sonia Go Veran-taguibao | Pathology | 101 The City Blvd Dr S, Bldg 1, 3rd Floor, Rm 3003, Orange, CA 92868 | 2015-09-14 |
| 1396909966 | Bita Behjatnia | Pathology | 3405 E Hammond Cir, Unit # F, Orange, CA 92869-7509 | 2008-07-14 |
| 1376601732 | Shu Yuan Liao | Pathology | 805 W La Veta Ave Ste 104, Orange, CA 92868-3928 | 2006-12-05 |
| 1578645685 | Michael Ira Schoen | Pathology | 1201 W La Veta Ave Ste 608, Orange, CA 92868-4211 | 2006-10-19 |
| 1023484268 | Wenchang Guo | Pathology | 101 The City Dr S, Orange, CA 92868-3201 | 2015-08-11 |
| 1477936524 | Behdokht Nowroozizadeh | Pathology | 101 The City Drive South, Bldg 1, 3rd Floor, Room 3003, Orange, CA 92868-3201 | 2015-07-08 |
| 1215315361 | Ahmad Charifa | Pathology | 101 The City Dr S Dept Of, Orange, CA 92868-3201 | 2015-05-09 |
| 1831506724 | Ifegwu O Ibe | Pathology | 101 The City Dr S, Orange, CA 92868 | 2014-07-13 |
| 1386943645 | Alicia Calderon Bhambra | Pathology | 101 The City Dr S, Orange, CA 92868-3201 | 2011-03-24 |
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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.