CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI# 1164509337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509337 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Practice Address |
3555 Cesar Chavez San Francisco CA 94110-4403 |
| Mailing Address |
Po Box 26060 Fresno CA 93729-6060 |
| Practice Telephone | 4156416574 |
| Practice Fax Number | 4156416717 |
| Mailing Telephone | 4156002200 |
| Mailing Fax Number | 4157505001 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | JOHN C MORETTO (ADMINISTRATOR) |
| Authorized Official Telephone | 4156416574 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0053731 | 05 |
| 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 |
| 1710300504 | California Pacific Pathology Medical Group | Pathology | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2014-01-29 |
| 1649357971 | California Pacific Pathology Medical Group | Pathology | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2006-11-01 |
| 1083671713 | California Pacific Pathology Medical Group | Pathology | 3700 California St, San Francisco, CA 94118 | 2006-04-27 |
| Street Address |
3555 CESAR CHAVEZ |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689655730 | John Bokelman | Radiology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2005-11-07 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1558901157 | Liliana Correa | Advanced Practice Midwife | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-01-10 |
| 1164072567 | April Jean Walter | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-09-17 |
| 1821648544 | Julia Leticia Guerrero | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-09-14 |
| 1235696584 | Enrique Reyes Ayalde Jr. | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-02-22 |
| 1952873291 | Justin J Rivard | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2018-12-27 |
| 1407202518 | Jacob Aaron | Internal Medicine | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2016-05-06 |
| 1265803795 | Savant Medical Services, A Med Corp | Physician Assistant | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2015-10-09 |
| 1518386416 | Scott Grubb | Anesthesiology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 |
|---|---|---|---|---|
| 1477625887 | California Pacific Pathology Medical Group | Pathology | Castro Duboce St, San Francisco, CA 94114 | 2006-11-14 |
| 1710909940 | Steven Andrew Miller | Pathology | 185 Berry St Ste 290, Box 0100, San Francisco, CA 94107-1773 | 2006-07-24 |
| 1124426572 | Michael Paul Busch | Pathology | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2014-12-17 |
| 1144577131 | Ucsf Department of Laboratory Medicine | Pathology | 1600 Divisadero St, San Francisco, CA 94115-3010 | 2012-08-08 |
| 1780931774 | Ucsf Department of Laboratory Medicine | Pathology | 185 Berry St, San Francisco, CA 94107-5705 | 2012-08-08 |
| 1558696039 | Anne Deucher | Pathology | 505 Parnassus Ave, Box 0100, San Francisco, CA 94143-2204 | 2009-10-16 |
| 1104151984 | Ari Benjamin Molofsky | Pathology | 505 Parnassus Ave, M524, Box 100, San Francisco, CA 94143-2204 | 2009-10-12 |
| 1396928040 | David Park | Pathology | 505 Parnassus Ave, Dept of Pathology, M-580, San Francisco, CA 94143-2204 | 2007-12-17 |
| 1508080748 | Regents of The University of California | Pathology | 95 Kirkham St, San Francisco, CA 94122 | 2007-04-12 |
| 1588712285 | Ucsf Department of Laboratory Medicine | Pathology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2007-01-08 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.