DERMPATH LAB UCI (NPI# 1699834614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699834614 |
| Entity Type | Organization |
| Organization Name | DERMPATH LAB UCI |
| Practice Address |
101 The City Drive Bldg 52 Orange CA 92868 |
| Mailing Address |
5856 Corporate Ave Suite 200 Cypress CA 90630 |
| Practice Telephone | 7144565557 |
| Practice Fax Number | 7144568859 |
| Mailing Telephone | 7142364000 |
| Mailing Fax Number | 7142364006 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SENAIT W DYSON (PRESIDENT) |
| Authorized Official Telephone | 7144565557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
101 THE CITY DRIVE BLDG 52 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649225384 | James G Jakowatz | Surgery | 101 The City Drive, Bldg 56 Rt 81, Orange, CA 92868-3298 | 2006-05-23 |
| 1073141008 | Evan Alexander Choate | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower, Ste 400, Orange, CA 92868-3201 | 2020-03-27 |
| 1093342362 | Kevin Ka Yip Wu | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower, Ste 400, Orange, CA 92868-3201 | 2020-03-25 |
| 1134680390 | Sarah Fatima Azam | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower, Suite 400, Orange, CA 92868 | 2019-03-28 |
| 1811458417 | Jonathan Evans | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower Ste 400, Orange, CA 92868 | 2019-03-27 |
| 1710481866 | Andrew Chi-yeu Liu | Student in an Organized Health Care Education/Training Program | 101 The City Drive, City Tower, Suite 400, Orange, CA 92868 | 2018-03-22 |
| 1679026249 | Cherish Marie De La Cruz | Registered Nurse | 101 The City Drive, Orange, CA 92868 | 2016-07-29 |
| 1629439567 | Melissa E Rodriguez | Registered Nurse | 101 The City Drive, Orange, CA 92868 | 2016-03-18 |
| 1477937779 | David Jefferson Reeder | Internal Medicine | 101 The City Drive, Pavillion 1, 2nd Floor, Orange, CA 92868 | 2015-07-16 |
| 1114283405 | Janis Dossen-jones | Anesthesiology | 101 The City Drive, Department of Anesthesiology, Orange, CA 92697-3201 | 2012-04-11 |
| 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 | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] 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 was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104284686 | Narina Grove | Pathology | 101 The City Dr S, Orange, CA 92868-3201 | 2016-01-29 |
| 1386712206 | Eugene S Strout | Pathology | 101 The City Drive, Orange, CA 92868 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165480 | Robert Preston Wisner | Pathology | 716 Elmwood Dr, Davis, CA 95616-3517 | 2017-03-21 |
| 1124386032 | Sepehr Hamidi | Pathology | 10833 Le Conte Ave # 255-c, Los Angeles, CA 90095 | 2012-04-27 |
| 1700175684 | Yuna Kang | Pathology | 10833 Le Conte Ave Rm B186, Los Angeles, CA 90095 | 2011-03-31 |
| 1760656169 | Michelle Cathleen Hure | Pathology | 31899 Del Obispo St Ste 130, San Juan Capistrano, CA 92675-3234 | 2008-04-16 |
| 1700074143 | Salma Dabiri | Pathology | 100 Albright Way, Suite C, Los Gatos, CA 95032-1837 | 2007-10-10 |
| 1083817548 | Matthew Russell Muenster | Pathology | 1921 N Gateway Blvd Ste 101, Fresno, CA 93727-1679 | 2007-06-11 |
| 1215051669 | Roupen Yaghsezian | Pathology | 22632 Ocean Way, Laguna Niguel, CA 92677-5436 | 2007-03-19 |
| 1154451243 | Hugh Randolph Byers | Pathology | 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401-7462 | 2007-03-07 |
| 1184750952 | Rajni Valli Mandal | Pathology | 1122 E Acacia Ave, Glendale, CA 91205-2536 | 2007-02-26 |
| 1912096413 | Lloyd D Smith Jr. | Pathology | 961 N Emerald, #d, Modesto, CA 95351-1556 | 2006-10-12 |
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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.