DR. JACQUELINE KATHLEEN LEKOSTAJ (NPI# 1659692317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659692317 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE KATHLEEN LEKOSTAJ |
| Credential | M.D., PH.D. |
| Practice Address |
2110 Rutherford Rd San03-1051 Carlsbad CA 92008-7328 |
| Practice Telephone | 7605165113 |
| Mailing Telephone | 7605165113 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
A137006 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036132840 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAL LICENSE, PERMANENT | 036132840 | 01 |
| CA | MEDICAL BOARD OF CALIFORNIA | A137006 | 01 |
| IL | MEDICAL LICENSE, TEMPORARY | 125057763 | 01 |
| IA | IOWA BOARD OF MEDICINE | MD-41874 | 01 |
| Street Address |
2110 RUTHERFORD RD SAN03-1051 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962484691 | Kim Janatpour | Specialist | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2005-11-17 |
| 1407346232 | Cartesian Medical Group, Inc. | Pathology | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2018-05-17 |
| 1154792695 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2015-10-09 |
| 1790073583 | Fouad M Abdelhalim | Pathology | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2011-07-14 |
| 1336433564 | Renee L Mohrmann | Pathology | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2011-06-06 |
| 1427349968 | Mona Charara | Clinical Medical Laboratory | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2011-05-02 |
| 1841589702 | Mayuko Imai | Pathology | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2011-03-31 |
| 1447552237 | Zhao Wu | Pathology | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2010-11-30 |
| 1609177260 | Swati A Shah | Pathology | 2110 Rutherford Rd, Genoptix Medical Laboratory, Carlsbad, CA 92008-7328 | 2010-11-12 |
| 1457652398 | Cartesian Medical Group Inc. | Clinical Medical Laboratory | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2010-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658848 | Breakthrough Genomics | Pathology | 25 Mauchly Ste 313, Irvine, CA 92618-2361 | 2020-10-26 |
| 1881200079 | Coral Genomics, Inc. | Pathology | 953 Indiana St, San Francisco, CA 94107-3007 | 2020-09-22 |
| 1447864111 | Stuart A Scott | Pathology | 3375 Hillview Ave Rm 1810, Palo Alto, CA 94304-1204 | 2020-09-01 |
| 1235572819 | Saed Rahmat Sadeghi | Pathology | 13447 Spectrum, Irvine, CA 92618-3427 | 2013-04-12 |
| 1851641641 | Clarient Diagnostic Services, Inc. | Pathology | 21031 Ventura Boulevard, Suite 700, Woodland Hills, CA 91364-2239 | 2012-09-19 |
| 1720162167 | Su Sin Chen | Pathology | 3017 Telegraph Ave Ste 100, Berkeley, CA 94705-2049 | 2006-10-24 |
| 1043796188 | Erik William Nohr | Pathology | 300 Pasteur Drive, Room L235, Mc:5324, Stanford, CA 94305 | 2018-07-12 |
| 1699294074 | Robert Eric Bookstein | Pathology | 8700 Beverly Blvd., Los Angeles, CA 90048 | 2017-09-17 |
| 1023549185 | Bing Zhang | Pathology | 300 Pasteur Dr, Lane 235, Stanford, CA 94305-2200 | 2017-03-21 |
| 1740686062 | Suzanne Kaye Coberly | Pathology | 1120 Veterans Blvd, 1120 Veterans Blvd, South San Francisco, CA 94080-1985 | 2014-11-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACQUELINE KATHLEEN LEKOSTAJ.
| 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.