OC PATH MEDICAL GROUP (NPI# 1700171501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700171501 |
| Entity Type | Organization |
| Organization Name | OC PATH MEDICAL GROUP |
| Other Organization Name | ORANGE REGIONAL PATHOLOGY ASSOCIATES INC |
| Practice Address |
14662 Newport Ave Tustin CA 92780-6064 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 7146692000 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055783911 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | JON P LAKE (PRESIDENT) |
| Authorized Official Telephone | 7148276701 |
| 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 |
05D0935646 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ORANGE REGIONAL PATHOLOGY ASSOCIATES INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235469685 | Oc Path Medical Group | Pathology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2010-01-07 |
| Street Address |
14662 NEWPORT AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881641462 | Southern California Acute Care Physicians | Emergency Medicine | 14662 Newport Ave, Tustin, CA 92780-6064 | 2006-05-28 |
| 1386018356 | Can Emergency Physicians Medical Group Inc | Emergency Medicine | 14662 Newport Ave, Tustin, CA 92780-6064 | 2015-11-13 |
| 1588070767 | Hien Nguyen | Social Worker | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-07-08 |
| 1689096406 | Alta Newport Hospital, Inc. | Skilled Nursing Facility | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-14 |
| 1043632938 | Alta Newport Hospital, Inc. | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-10 |
| 1568803583 | Performance Medical Inc | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2013-07-08 |
| 1184984429 | Pacific Anesthesiology A Medical Corporation | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2012-05-21 |
| 1063657138 | Tustin Hospital and Medical Center | Long Term Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-12-03 |
| 1437304391 | Tustin Hospital and Medical Center | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-11-19 |
| 1942450747 | Edgar Z. Cosme, M.d., Inc. | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.