CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI# 1710300504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710300504 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Practice Address |
5176 Hill Rd E Lakeport CA 95453-6300 |
| Mailing Address |
Po Box 26060 Fresno CA 93729-6060 |
| Practice Telephone | 7072625000 |
| Mailing Telephone | 5594554031 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | DR. JOHN CHRISTOPHER MORETTO (MANAGING PARTNER) |
| Authorized Official Telephone | 4156002200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477625887 | California Pacific Pathology Medical Group | Pathology | Castro Duboce St, San Francisco, CA 94114 | 2006-11-14 |
| 1457744120 | California Pacific Pathology Medical Group | Pathology | 180 Rowland Way, Novato, CA 94945-5009 | 2015-03-05 |
| 1194120451 | California Pacific Pathology Medical Group | Pathology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2014-10-29 |
| 1649357971 | California Pacific Pathology Medical Group | Pathology | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2006-11-01 |
| 1164509337 | California Pacific Pathology Medical Group | Pathology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2006-11-01 |
| 1083671713 | California Pacific Pathology Medical Group | Pathology | 3700 California St, San Francisco, CA 94118 | 2006-04-27 |
| Street Address |
5176 HILL RD E |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013125 | Myron P. Schneider | Radiology | 5176 Hill Rd E, Dept of Imaging, Lakeport, CA 95453-6300 | 2005-06-15 |
| 1417441080 | Farallon Inpatient Medical Group Inc | Emergency Medicine | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2018-06-18 |
| 1093171522 | California Advanced Imaging Medical Associates, Inc. | Radiology | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2016-01-13 |
| 1831597517 | Sutter West Bay Hospitals | Clinic/Center | 5176 Hill Rd E, Modular Building, Lakeport, CA 95453-6300 | 2014-12-12 |
| 1194068635 | Lake County Anesthesia PC | Anesthesiology | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2013-04-03 |
| 1841541455 | Richelle M Gaiter | Physician Assistant | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2012-09-21 |
| 1023380334 | Kimberley Curtis | Acupuncturist | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2012-02-01 |
| 1770816829 | Sutter Bay Hospitals | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-09-08 |
| 1598098642 | Sutter Bay Hospitals | Medicare Defined Swing Bed Unit | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-09-08 |
| 1700119856 | Sutter West Bay Hospitals | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| 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; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642988 | Eric Yeung | Pathology | 233 Coral View St, Monterey Park, CA 91755-5647 | 2020-06-07 |
| 1164058640 | Sean Dietrich Owens | Pathology | 1219 Harvard Dr, Davis, CA 95616-1710 | 2020-03-17 |
| 1427602036 | Healthcare Clinical Laboratory Inc. | Pathology | 326 N Vermont Ave # B, Los Angeles, CA 90004-3511 | 2019-07-31 |
| 1417509266 | He Yang | Pathology | 23616 Clearidge Dr, Valencia, CA 91354-1620 | 2019-07-11 |
| 1588221899 | Progenabiome, LLC | Pathology | 1845 Knoll Dr, Ventura, CA 93003-7321 | 2019-05-22 |
| 1932624145 | Pogos Martinyan | Pathology | 31344 Via Colinas Ste 104, Westlake Village, CA 91362-6853 | 2017-08-08 |
| 1700326576 | Thomas Wayne Bruice | Pathology | 6783 Palermi Pl, Carlsbad, CA 92011-4062 | 2017-02-27 |
| 1184041501 | Shohei Ikoma | Pathology | 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | 2014-03-24 |
| 1376973040 | Pch Diagnostic Center | Pathology | 2990 E. Pacific Coast Hwy, Suite B, Long Beach, CA 90804 | 2013-11-18 |
| 1386949717 | Russell Allen Brown | Pathology | 4180 Network Cir, Sca18-3236, Santa Clara, CA 95054-1778 | 2011-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP.
| 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.