PLACENTIA PATHOLOGY MEDICAL GROUP (NPI# 1962463364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962463364 |
| Entity Type | Organization |
| Organization Name | PLACENTIA PATHOLOGY MEDICAL GROUP |
| Practice Address |
12601 Garden Grove Blvd Garden Grove CA 92843-1908 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 7147412765 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS ANDORKA (PRESIDENT) |
| Authorized Official Telephone | 7147412765 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0064593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770544819 | Placentia Pathology Medical Group | Pathology | 1301 N Rose Dr, Placentia, CA 92870-3802 | 2006-03-29 |
| 1881654770 | Placentia Pathology Medical Group | Pathology | 2601 E Chapman Ave, Orange, CA 92869-3206 | 2006-03-24 |
| Street Address |
12601 GARDEN GROVE BLVD |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629578455 | Lifang Mao Md Inc | Anesthesiology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2018-02-19 |
| 1720536097 | Arash Esmailzadegan Md Inc | Anesthesiology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2016-09-15 |
| 1679943450 | Anna Morales | Dietitian, Registered | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2015-10-06 |
| 1134515802 | Hoang Yen Thi Vo | Pharmacist | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2015-04-09 |
| 1396166534 | Thomas Ho Md Inc | Anesthesiology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2013-12-13 |
| 1669738423 | Anna Heilig-adams | Physician Assistant | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2012-04-05 |
| 1295047413 | William U Galdamez | Physician Assistant | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2010-07-02 |
| 1174752836 | Kim-tan Nguyen | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2009-07-02 |
| 1255569836 | Thomas H Ho | Anesthesiology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2009-06-23 |
| 1063647774 | Gary Chinghuei Kao Md Inc | Anesthesiology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2009-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235296864 | John Chatfield Hiserodt | Pathology | 7707 Garden Grove Blvd, Garden Grove, CA 92841-4207 | 2007-01-02 |
| 1750488987 | Oc Path Medical Group Orange Regional Pathology Associate | Pathology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-09-20 |
| 1295768786 | Jon P Lake | Pathology | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346703642 | Diagnostic Pathology Medical Group, Inc. | Pathology | 1680 E Roseville Pkwy # 100, Roseville, CA 95661-3988 | 2019-04-12 |
| 1356840763 | Outpatient Biopsy Center | Pathology | 25 S Raymond Ave Ste 113, Alhambra, CA 91801-7143 | 2018-02-12 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1528479144 | Ryan Paul Lau | Pathology | 10833 Le Conte Ave # As255-c, Los Angeles, CA 90095-6402 | 2014-05-16 |
| 1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
| 1104113331 | Roberto Ruiz-cordero | Pathology | 1825 4th St Rm L2181a, San Francisco, CA 94143-2350 | 2011-07-08 |
| 1215234257 | Patricia Ellen Goldhoff | Pathology | 1422 6th Ave, San Francisco, CA 94122-3811 | 2011-02-25 |
| 1912228214 | Anila D. Guruji | Pathology | 19951 Mariner Avenue, Suite 150, Torrance, CA 90503 | 2010-06-21 |
| 1114244100 | Laura Jean Denham | Pathology | 11234 Anderson St Ste 2516, Loma Linda, CA 92354-2804 | 2010-04-29 |
| 1780842609 | Bizhan Bandarchi Chamkhaleh | Pathology | 8841 Canoga Ave, Canoga Park, CA 91304-1502 | 2008-05-28 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.