CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
NPI 1194120451
Pathology - Clinical Pathology/Laboratory Medicine in Santa Rosa, CA

NPI Status: Active since October 29, 2014

Contact Information

30 MARK WEST SPRINGS RD
SANTA ROSA, CA
ZIP 95403
Phone: (707) 576-4315
Fax: (707) 541-9112

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  • Organization
  • Pathology
  • Clinical Pathology/Laboratory Medicine

About CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for California Pacific Pathology Medical Group, a provider established in Santa Rosa, California operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1194120451 assigned on October 2014. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John Christopher Moretto M.d. (Managing Partner)

NPI
1194120451
Provider Name
CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
Entity Type
Organization
Location Address
30 MARK WEST SPRINGS RD SANTA ROSA, CA 95403
Location Phone
(707) 576-4315
Location Fax
(707) 541-9112
Mailing Address
PO BOX 26060 FRESNO, CA 93729
Mailing Phone
(707) 576-4315
Mailing Fax
(707) 541-9112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2014
Last Update Date
06-12-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Clinical Pathology/Laboratory Medicine

Taxonomy Code
207ZP0105X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN CHRISTOPHER MORETTO M.D.

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(415) 600-2200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194120451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184220410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 2 + 0 + 4 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1194120451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366422008 MITCHELL EDWARD BAILEY M.D.
Individual
Surgery30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 328-9673
1396206165 BARBARA WALSTON
Individual
Nurse Practitioner (Family)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1982248761 JAYSON GERONIMO SANTIAGO
Individual
Nurse Practitioner (Acute Care)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 334-9839
1710203880 JON MICHAEL KARCH MD
Individual
Hospitalist30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1306107271DR. FREDERICK WILLIAM ROMBERG M.D.
Individual
Anesthesiology30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 522-1800
1588280374 RICHARD PARKE
Individual
Nurse Practitioner (Family)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1811590268DR. OMI PATEL PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1558030361 LAUREN ANDERSON RN
Individual
Registered Nurse (Emergency)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1609313212 KATHERINE SCHWARTZ PT
Individual
Physical Therapist30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1760976757 JEFFREY Y XU MD
Individual
Internal Medicine30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(408) 382-9190
1508505561 CATHY CONWAY LCSW
Individual
Social Worker (Clinical)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1053534354DR. SABRINA ANN KIDD M.D.
Individual
Colon & Rectal Surgery30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1124767330 GREGORY P PENNING R.T.(R)(CT)ARRT
Individual
Radiology (Diagnostic Radiology)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1114631900 MEGAN EILEEN SOMMER BSN, RN, CCRN
Individual
Registered Nurse (Critical Care Medicine)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4500
1144920372 GABRIELLE MEHANA MEGUMI STEVERSON LCSW
Individual
Social Worker (Clinical)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1992408819SONOMA CRITICAL CARE ASSOCIATES INC
Organization
Internal Medicine (Critical Care Medicine)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1013413517 DOMINIC JOSEPH PICETTI MD
Individual
Internal Medicine30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4000
1770043176DR. JOSHUA JACOBER MD
Individual
Emergency Medicine30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4040
1548720816MR. KYLE PATRICK JOHNSON PA
Individual
Physician Assistant30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4040
1629559133DR. PANATHDA VICTORIA BAYRASY PHARMD
Individual
Pharmacist (Pharmacotherapy)30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
(707) 576-4340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194120451, enumerated in the NPI registry as an "organization" on October 29, 2014

The provider is located at 30 Mark West Springs Rd Santa Rosa, Ca 95403 and the phone number is (707) 576-4315

This medical organization specializes in Pathology with taxonomy code 207ZP0105X with a focus in Clinical Pathology/Laboratory Medicine

This NPI record was last updated on October 29, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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