PACIFIC RIM PATHOLOGY MEDICAL CORPORATION (NPI# 1417388562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417388562 |
| Entity Type | Organization |
| Organization Name | PACIFIC RIM PATHOLOGY MEDICAL CORPORATION |
| Practice Address |
3030 Bunker Hill Street Suite 201 San Diego CA 92109 |
| Mailing Address |
4980 Carroll Canyon Rd Suite 2 San Diego CA 92121-1736 |
| Practice Telephone | 8586388120 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | ARTURO E MENDOZA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8589393660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 207ZP0102X | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0080124 | 05 | |
| CA | MEDICARE ID | 05D2058823 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457449365 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 5325 Metro St Ste A, San Diego, CA 92110-2608 | 2006-10-10 |
| 1922069087 | Pacific Rim Pathology Medical Corporation | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2006-03-29 |
| 1073574075 | Pacific Rim Pathology Medical Corporation | Pathology | 250 Prospect Pl, San Diego, CA 92118-1943 | 2006-03-29 |
| 1225099237 | Pacific Rim Pathology Medical Corporation | Pathology | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2006-03-29 |
| Street Address |
3030 BUNKER HILL STREET SUITE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| 1225357833 | Gary L Matson Do Inc | Family Medicine | 4501 Mission Bay Dr 3e, San Diego, CA 92109 | 2010-05-21 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) 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. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1609483510 | Skylinedx Usa Inc. | Clinical Medical Laboratory | 3030 Bunker Hill St Ste 230, San Diego, CA 92109-5757 | 2020-09-24 |
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| 1912521568 | Helix Opco, LLC | Clinical Medical Laboratory | 9875 Towne Centre Dr, San Diego, CA 92121-1975 | 2020-05-29 |
| 1952934556 | Family Fertility Cryobank | Clinical Medical Laboratory | 6699 Alvarado Rd Ste 2208, San Diego, CA 92120-5240 | 2020-02-21 |
| 1033741566 | Stratify Genomics | Clinical Medical Laboratory | 3525 Del Mar Heights Rd # 891, San Diego, CA 92130-2199 | 2020-02-12 |
| 1598260986 | H&m Molecular Diagnostics, LLC | Clinical Medical Laboratory | 10581 Roselle St Ste 120, San Diego, CA 92121-1521 | 2018-03-27 |
| 1790139061 | Epic Sciences, Inc. | Clinical Medical Laboratory | 9381 Judicial Dr, Suite 200, San Diego, CA 92121-3832 | 2016-04-22 |
| 1891152534 | Gensi | Clinical Medical Laboratory | 11125 Flintkote Ave, Suite J, San Diego, CA 92121-1213 | 2016-01-26 |
| 1427422526 | Illumina, Inc | Clinical Medical Laboratory | 5200 Illumina Way, San Diego, CA 92122-4616 | 2015-11-30 |
| 1427428069 | Applied Proteomics, Inc. | Clinical Medical Laboratory | 3545 John Hopkins Ct, Suite 150, San Diego, CA 92121-1112 | 2015-09-25 |
| Find all providers in SAN DIEGO | ||||
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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.