GEORGIA LILES TUNSTILL (NPI# 1295963627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295963627 |
| Entity Type | Individual |
| Full Name | GEORGIA LILES TUNSTILL |
| Other Name | GEORGIA B LILES |
| Credential | M.D. |
| Practice Address |
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214 |
| Practice Telephone | 3102253244 |
| Practice Fax Number | 3106987054 |
| Mailing Telephone | 3102253244 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A122668 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
003643 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2374 E PACIFICA PL |
| City | RANCHO DOMINGUEZ |
| State | CA |
| Zip Code | 90220-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816893 | Suchetha Adiga | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2005-07-22 |
| 1750940607 | Stephanie Purmort | Spec/Tech, Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2019-06-12 |
| 1659639417 | Adam Stelling | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 | 2012-04-30 |
| 1396011755 | Nicholas Max Harding-jackson | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2012-03-29 |
| 1205129509 | Nicolas Gallegos II | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2011-05-18 |
| 1619119278 | Christopher David Ake | Neuromusculoskeletal Medicine & OMM | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2009-03-28 |
| 1629003652 | Sanja Krajisnik | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-07-11 |
| 1730119553 | Affiliated Pathologists Medical Group, Inc. | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-07-04 |
| 1326076019 | Scott Binder | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-06-29 |
| 1962455337 | Eric F. Glassy | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| 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 |
|---|---|---|---|---|
| 1659639417 | Adam Stelling | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 | 2012-04-30 |
| 1396011755 | Nicholas Max Harding-jackson | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2012-03-29 |
| 1629003652 | Sanja Krajisnik | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-07-11 |
| 1730119553 | Affiliated Pathologists Medical Group, Inc. | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-07-04 |
| 1962455337 | Eric F. Glassy | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-05-18 |
| 1477518421 | Alessandro De Vito | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-04-20 |
| 1144209206 | Jennifer F O'dell | Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2006-01-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO DOMINGUEZ |
| Zip Code | 90220 |
Please comment or provide details below to improve the information on GEORGIA LILES TUNSTILL.
| 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.