CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI# 1477625887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477625887 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Practice Address |
Castro Duboce St San Francisco CA 94114 |
| Mailing Address |
Po Box 26060 Fresno CA 93729-6060 |
| Practice Telephone | 4155656017 |
| Practice Fax Number | 4157505001 |
| Mailing Telephone | 4156002200 |
| Mailing Fax Number | 4157505001 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | JOHN C MORETTO (ADMINISTRATOR) |
| Authorized Official Telephone | 4155656017 |
| 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 | GR0053732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164509337 | California Pacific Pathology Medical Group | Pathology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2006-11-01 |
| 1083671713 | California Pacific Pathology Medical Group | Pathology | 3700 California St, San Francisco, CA 94118 | 2006-04-27 |
| Street Address |
CASTRO DUBOCE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1467005710 | Tin Rx Castro San Francisco | Pharmacy | 2175 Market St., Unit 122, San Francisco, CA 94114 | 2019-07-16 |
| 1396239075 | Larry Do Nguyen | Physical Therapist | Castro and Duboce St, San Francisco, CA 94114 | 2018-06-18 |
| 1407385875 | Christine Kaede Fischer | Chiropractor | 1326 Church Street, San Francisco, CA 94114 | 2017-06-08 |
| 1437521168 | Caleb Zeringue | Registered Nurse | 840 Castro St, San Francisco, CA 94114 | 2015-10-21 |
| 1811310188 | Jennifer Lynn Sharpe | Counselor | 126 Church St., San Francisco, CA 94114 | 2014-01-22 |
| 1457787657 | Robin Rachel Rome | Art Therapist | 76a Pond Street, San Francisco, CA 94114 | 2013-09-19 |
| 1487990396 | Gregg S Aspacher | Pharmacist | 2262 Market Street, San Francisco, CA 94114 | 2012-12-20 |
| 1699025338 | Jinous Amjadi | Pharmacist | 2020 Market Street, San Francisco, CA 94114 | 2012-09-10 |
| Find all providers in zip 94114 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1346310190 | Christine Ann Haller | Pathology | 1001 Potrero Avenue, Rm 2m2, San Francisco, CA 94110-3518 | 2006-11-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
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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.