UNIVERSITY OF THE PACIFIC (NPI# 1407273279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407273279 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF THE PACIFIC |
| Other Organization Name | PACIFIC ORAL & MAXILLOFACIAL PATHOLOGY LABORATORY |
| Practice Address |
155 5th St Popl Suite 407e San Francisco CA 94103-2919 |
| Practice Telephone | 4159296560 |
| Practice Fax Number | 4159296654 |
| Mailing Telephone | 4159296560 |
| Mailing Fax Number | 4159296654 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | MR. ED PEGUEROS (ASST DEAN, BUDGET & FIN ADMIN) |
| Authorized Official Telephone | 4153517192 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF THE PACIFIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE ID NUMBER | CLF 00002594 | 01 |
| CA | CLIA NUMBER | 05D0643664 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Oral & Maxillofacial Pathology Laboratory | Doing Business As Name - Organization |
| Pacific Oral & Maxillofacial Pathology Laboratory, Arthur A. Dugoni School of Dentistry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1194186999 | University of The Pacific | Clinic/Center | 142 Alhambra St, San Francisco, CA 94123-2004 | 2016-03-08 |
| 1851414189 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2007-04-10 |
| 1588050942 | University of The Pacific | Dentist | 155 5th St, Business Office, San Francisco, CA 94103-2919 | 2015-04-13 |
| 1316344104 | University of The Pacific | Audiologist | 155 5th St, Audiology Clinic, San Francisco, CA 94103-2919 | 2014-11-24 |
| 1366870834 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2013-10-21 |
| 1295085413 | University of The Pacific | Pharmacist | 3601 Pacific Ave, T. J. Long School of Pharmacy, Stockton, CA 95211-0110 | 2012-09-14 |
| 1932345386 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2009-01-06 |
| 1679766398 | University of The Pacific | Audiologist-Hearing Aid Fitter | 3601 Pacific Ave, Department of Audiology, Stockton, CA 95211-0110 | 2007-08-27 |
| 1922105824 | University of The Pacific | Clinic/Center | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UNIVERSITY OF THE PACIFIC | 3601 Pacific Ave, Stockton, CA 95211 |
| Street Address |
155 5TH ST POPL SUITE 407E |
| 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 | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255487179 | Leonid A Tolstunov | Dentist | 99 W Portal Ave, San Francisco, CA 94127-1303 | 2007-01-25 |
| 1841381753 | Jeffrey T Fujimoto | Dentist | 348 Taraval St, San Francisco, CA 94116-1953 | 2006-09-27 |
| 1316974454 | Phillip Merrell | Dentist | 2155 Wester Street, San Francisco, CA 94115 | 2006-06-26 |
| 1235191305 | Ucsf Dermatopathology Service | Dentist | 1701 Divisadero St, Suite 280, San Francisco, CA 94115-3011 | 2006-04-04 |
| 1316475213 | Kyle Burke Jones | Dentist | 1701 Divisadero St Rm 280, San Francisco, CA 94115-3011 | 2017-05-23 |
| 1740528280 | Maria Leticia Ferreira Cabido | Dentist | 155 5th St, San Francisco, CA 94103-2919 | 2013-01-17 |
| 1245328822 | Calvin Y. Lee | Dentist | 348 Taraval St, San Francisco, CA 94116-1953 | 2006-10-10 |
| 1205860665 | Francis Hyunjin Chung | Dentist | 2460 Mission St, Suite 109, San Francisco, CA 94110-2430 | 2006-07-10 |
| 1427012392 | John S Greenspan | Dentist | 513 Parnassus Ave, S-512, San Francisco, CA 94143-2205 | 2006-04-17 |
| 1598729477 | William Carpenter | Dentist | 513 Parnassus Ave, S-512, San Francisco, CA 94143-2205 | 2006-04-17 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
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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.