SAN FRANCISCO PATHOLOGY MEDICAL GROUP (NPI# 1609428911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609428911 |
| Entity Type | Organization |
| Organization Name | SAN FRANCISCO PATHOLOGY MEDICAL GROUP |
| Practice Address |
450 Stanyan Street San Francisco CA 94117 |
| Mailing Address |
San Francisco Pathology Medical Group 426 Joost Avenue San Francisco CA 94127 |
| Practice Telephone | 4157505751 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | ANA ISABEL QUIROGA (PRESIDENT) |
| Authorized Official Telephone | 4158234335 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
450 STANYAN STREET |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063542 | Cep America - California | Emergency Medicine | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2006-05-23 |
| 1740625201 | Christy Dillon | Student in an Organized Health Care Education/Training Program | 450 Stanyan Street, St. Mary's Medical Center Internal Medicine Residency, San Francisco, CA 94117 | 2013-05-09 |
| 1093027625 | Michael D Lagios M D A Professional Corporation | Specialist | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2010-07-12 |
| 1699933556 | Pedram Kahen, Dpm Inc. | Podiatrist | 450 Stanyan Street, San Francisco, CA 94117 | 2008-05-28 |
| 1033389820 | David Jerome Tubio Malit | Internal Medicine | 450 Stanyan Street, San Francisco, CA 94117 | 2008-03-07 |
| 1205964285 | Lynn E. Spitler, Md, A Medical Corporation | Internal Medicine | 450 Stanyan Street, St. Mary's Medical Center, Northern California Melanoma, San Francisco, CA 94117-2725 | 2007-03-01 |
| 1861530370 | Carmen Goodin | Marriage & Family Therapist | 450 Stanyan Street, San Francisco, CA 94117 | 2007-02-05 |
| 1952479966 | Ingrid Juliana Block-kurbisch | Specialist | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2006-11-30 |
| 1245261791 | Corinna Alisangco Gamez | Psychiatry & Neurology | 450 Stanyan Street, 5 North Mcauley Institute, San Francisco, CA 94117 | 2006-07-05 |
| 1316974546 | Mark Ulysses Mumm | Physician Assistant | 450 Stanyan Street, San Francisco, CA 94117 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| 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 |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1902148810 | Andrew Joseph Bandy | Pathology | 1805 Fillmore St Apt 304, San Francisco, CA 94115 | 2013-03-19 |
| 1346557139 | Michael Deftos | Pathology | 2455 39th Ave, San Francisco, CA 94116-2154 | 2010-09-01 |
| 1316274871 | Michael John Nystrom | Pathology | 2338 21st Ave, San Francisco, CA 94116-2430 | 2009-11-04 |
| 1275868291 | Nafis Shafizadeh | Pathology | Ucsf Dept of Pathology 505 Parnassus Ave, Room M-551, San Francisco, CA 94143-0001 | 2009-10-08 |
| 1013242361 | Jason Yang | Pathology | 601 Van Ness Ave Apt 1028, San Francisco, CA 94102-3257 | 2009-10-05 |
| 1790913507 | Carey Eberle | Pathology | 2302 Divisadero St, San Francisco, CA 94115-1721 | 2009-06-30 |
| 1609057041 | Dean Fong | Pathology | 350 St. Joseph's Street, Kaiser Permanente Medical Center, San Francisco, CA 94115 | 2007-11-14 |
| 1992822027 | Lawrence Walden Browne II | Pathology | Departments of Pathology and Laboratory Medicine Ucsf, 505 Parnassus Avenue, M580, Box 0102, San Francisco, CA 94143-0001 | 2007-03-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.