DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC. (NPI# 1255416400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255416400 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC. |
| Practice Address |
7500 Hospital Dr Sacramento CA 95823-5403 |
| Mailing Address |
3301 C St #200e Sacramento CA 95816-3300 |
| Practice Telephone | 9164476267 |
| Practice Fax Number | 9164470621 |
| Mailing Telephone | 9164476267 |
| Mailing Fax Number | 9164470621 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | MICHAEL J FINN (CEO) |
| Authorized Official Telephone | 9164460424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0010573 | 05 | |
| CA | MEDICARE RAILROAD | CS7233 | 01 |
| Street Address |
7500 HOSPITAL DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235699109 | Lauren E Keaton | Dietitian, Registered | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2019-03-25 |
| 1124519343 | Arlene Elizabeth Reyna | Student in an Organized Health Care Education/Training Program | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2018-05-23 |
| 1184115628 | Corwin Eder | Student in an Organized Health Care Education/Training Program | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2018-05-21 |
| 1578090254 | Jeremy Gerber | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2017-05-12 |
| 1245782077 | Michelle Smiley | Speech-Language Pathologist | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-10-27 |
| 1285184929 | Glenn Robert Gookin | Family Medicine | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-10-06 |
| 1861949562 | Juliyana Fulton | Dietitian, Registered | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-09-09 |
| 1306297122 | Douglas Borgman | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-06-22 |
| 1467809913 | Ayako Parker | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-05-14 |
| 1578921425 | Nissma Mahmoud Eldeeb Kinsey | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918128 | Claudeen Tracy Brown | Specialist | 7826 Alta Valley Dr, Sacramento, CA 95823-4604 | 2019-08-19 |
| 1154889525 | Kelley Nicole Ashe | Specialist | 1510 16th St Ste 120, Sacramento, CA 95814-6015 | 2019-03-05 |
| 1891266656 | Debra Marie Engelbrite | Specialist | 4100 Lusk Dr, Sacramento, CA 95864-0748 | 2018-12-05 |
| 1932633070 | Paquette Spine Institute, Corp. | Specialist | 3800 J St Ste 210, Sacramento, CA 95816-5551 | 2017-04-15 |
| 1154792216 | Anthony Demario | Specialist | 4860 Y Street Site 1100, Sacramento, CA 95817 | 2015-10-15 |
| 1316338460 | Patricia Rao | Specialist | 5901 Stallon Way, Sacramento, CA 95823-3820 | 2015-02-11 |
| 1598162810 | Debra Garcia | Specialist | 1124 Rio Cidade Way, Sacramento, CA 95831-4487 | 2014-12-02 |
| 1801198809 | Lee Adam Worth | Specialist | 1500 Capitol Ave, Sacramento, CA 95814-5006 | 2010-11-23 |
| 1962724575 | Shannon Richard Reed | Specialist | 719 56th St, Sacramento, CA 95819-3306 | 2010-02-23 |
| 1730413774 | Bob Ghelfi Md PC | Specialist | 2295 Gateway Oaks Dr, Suite 105, Sacramento, CA 95833-3225 | 2009-09-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.