DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC (NPI# 1992199160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992199160 |
Entity Type | Organization |
Organization Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC |
Practice Address |
300 Hospital Dr Vallejo CA 94589-2574 |
Mailing Address |
3301 C St Suite 200e Sacramento CA 95816-3300 |
Practice Telephone | 9164476267 |
Practice Fax Number | 9164565842 |
Mailing Telephone | 9164476267 |
Mailing Fax Number | 9164565842 |
Enumeration Date | 2015-03-25 |
Last Update Date | 2015-03-25 |
Authorized Official Name | MR. MICHAEL J FINN (CEO) |
Authorized Official Telephone | 9164476267 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
1235138868 | Diagnostic Pathology Medical Group Inc | Pathology | 3301 C St, #200e, Sacramento, CA 95816-3300 | 2005-07-15 |
1023673167 | Diagnostic Pathology Medical Group Inc | Pathology | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-05-03 |
1770064271 | Diagnostic Pathology Medical Group Inc | Pathology | 6490 S Mccarran Blvd, Bldge E Ste 106, Reno, NV 89509 | 2018-08-23 |
1609948983 | Diagnostic Pathology Medical Group Inc | Specialist | 11815 Education St, Auburn, CA 95602-2410 | 2006-11-14 |
1184709313 | Diagnostic Pathology Medical Group Inc | Pathology | 2825 Capitol Ave, Sacramento, CA 95616-5616 | 2006-10-26 |
1386729549 | Diagnostic Pathology Medical Group Inc | Specialist | 4001 J St, Sacramento, CA 95819-3626 | 2006-10-26 |
1700961927 | Diagnostic Pathology Medical Group Inc | Specialist | 2000 Sutter Pl, Davis, CA 95616-6201 | 2006-10-26 |
1952486565 | Diagnostic Pathology Medical Group Inc | Specialist | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-10-25 |
1588749162 | Diagnostic Pathology Medical Group Inc | Specialist | 5151 F St, Sacramento, CA 95819-3223 | 2006-10-25 |
Street Address |
300 HOSPITAL DR |
City | VALLEJO |
State | CA |
Zip Code | 94589-2574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609305077 | Genesis Ob Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-06-08 |
1184156010 | Antony Mathew | Emergency Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-03-30 |
1710429857 | Reliant Medical Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-11-07 |
1699135277 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-02-25 |
1033586151 | Hieu Minh Phan | Pharmacist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-08-24 |
1689053720 | Nicholas Taylor | Internal Medicine | 300 Hospital Dr, Vallejo, CA 94589 | 2015-05-21 |
1669885539 | Kelley Lynn Rodolff | Physician Assistant | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2014-06-08 |
1629404744 | Stephen Asiain Tatom | Registered Nurse | 300 Hospital Dr, Sutter Solano Medical Center, Vallejo, CA 94589-2574 | 2013-09-20 |
1134564586 | Northern California Pet Imaging Center | Nuclear Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-04-29 |
1306183421 | Dhp of Sutter Solano Medical Group Inc | Hospitalist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
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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 |
---|---|---|---|---|
1679580351 | Caroline Guevara Yap | Pathology | 2801 Olivewood Ln, Vallejo, CA 94591-6369 | 2006-08-02 |
1548202773 | Ahchean A Chen | Pathology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-06-12 |
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 |
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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.