PACIFIC ORAL PATHOLOGY LABORATORY (NPI# 1093777278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093777278 |
| Entity Type | Organization |
| Organization Name | PACIFIC ORAL PATHOLOGY LABORATORY |
| Practice Address |
155 5th St San Francisco CA 94103-2919 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 4159296572 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | LEWIS EVERSOLE (PRESIDENT) |
| Authorized Official Telephone | 4159296572 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB64366F | 05 |
| Street Address |
155 5TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346753 | Constantine J Karsant | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2005-06-14 |
| 1326653775 | Eliz Danielle Santos | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2020-09-12 |
| 1831711746 | Mateel Musallam | Audiologist | 155 5th St, San Francisco, CA 94103-2919 | 2020-05-13 |
| 1598220790 | Sandra Anne Mclaren | Counselor | 155 5th St, San Francisco, CA 94103 | 2019-02-01 |
| 1427527845 | Jiong Hu | Audiologist | 155 5th St, San Francisco, CA 94103-2919 | 2018-11-14 |
| 1629579479 | Se Rin Lee | Dentist | 155 5th St, San Francisco, CA 94103 | 2018-02-27 |
| 1154871200 | Ronald Chung | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-10-12 |
| 1861940371 | Tex Christopher Mabalon IIi | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-09-13 |
| 1316301898 | William Tognotti | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-04-11 |
| 1033570551 | Warden Noble | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245606847 | C-dental X-ray, Inc. | Dental Laboratory | 362 W Portal Ave, San Francisco, CA 94127-1412 | 2015-08-18 |
| 1356717953 | C-dental X-ray, Inc. | Dental Laboratory | 450 Sutter St, Ste. 1542, San Francisco, CA 94108-4206 | 2015-08-18 |
| 1336101583 | Oral Pathology Laboratory Ucsf School of Dentistry | Dental Laboratory | 513 Parnassus Ave, San Francisco, CA 94143-2205 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972074367 | Prosomnus Sleep Technologies Inc. | Dental Laboratory | 5860 W Las Positas Blvd Ste 25, Pleasanton, CA 94588-8557 | 2018-12-10 |
| 1982192290 | Dj Dental Lab Inc | Dental Laboratory | 700 N Valley St Ste F-g, Anaheim, CA 92801-3824 | 2018-04-23 |
| 1427587724 | California Dental Arts, LLC | Dental Laboratory | 20421 Pacifica Dr, Cupertino, CA 95014-3013 | 2017-06-08 |
| 1366807950 | C-dental X-ray, Inc | Dental Laboratory | 1900 Olympic Blvd, Ste. 201, Walnut Creek, CA 94596-5037 | 2015-12-23 |
| 1932576220 | Dental Digital Design | Dental Laboratory | 17781 Sky Park Cir # D, Irvine, CA 92614-6103 | 2015-08-21 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1639588205 | John Bilder Fund Billingsworth Lab | Dental Laboratory | 7202 Greenleaf Ave, 13303 Philadelphia St, Whittier, CA 90602-1312 | 2014-08-08 |
| 1588915615 | Usc Redmond Imaging Center | Dental Laboratory | 925 W 34th St Ste 319, Los Angeles, CA 90089-0641 | 2012-09-28 |
| 1134493943 | Mike's Dental Lab | Dental Laboratory | 1735 Professional Drive, Sacramento, CA 95825 | 2012-02-27 |
| 1467734491 | Brockton Dental X-ray Lab., Inc. | Dental Laboratory | 6800 Brockton Ave Ste 3, Riverside, CA 92506-3810 | 2011-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on PACIFIC ORAL PATHOLOGY LABORATORY.
| 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.