PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
NPI 1417992868
Pathology - Anatomic Pathology & Clinical Pathology in Santa Monica, CA

NPI Status: Active since June 19, 2006

Contact Information

1328 22ND ST
PATHOLOGY DEPT
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8101
Fax: (310) 829-6509

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S

This page provides the complete NPI Profile along with additional information for Pathology Medical Group Of Saint John's, a provider established in Santa Monica, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1417992868 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number G58882 (CA). The provider is registered as an organization and their NPI record was last updated 18 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 David L Krasne Md (Managing Partner)

NPI
1417992868
Provider Name
PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
Entity Type
Organization
Location Address
1328 22ND ST PATHOLOGY DEPT SANTA MONICA, CA 90404
Location Phone
(310) 829-8101
Location Fax
(310) 829-6509
Mailing Address
1328 22ND ST PATHOLOGY DEPT SANTA MONICA, CA 90404
Mailing Phone
(310) 829-8101
Mailing Fax
(310) 829-6509
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2006
Last Update Date
10-04-2007
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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 Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
G58882
License State
CA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID L KRASNE MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(310) 829-8101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HW13275MEDICARE PIN (08)CA 
GR0095430MEDICAID (05)CA 

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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.
1417992868
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271894812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 9 + 4 + 8 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1417992868 is valid because the calculated check digit 8 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
1699763094 LAURA D ALEXANDER MD
Individual
Anesthesiology1328 22ND ST DEPARTMENT OF ANESTHESIOLOGY
SANTA MONICA, CA 90404
(310) 829-8202
1609830637 DAVID LOWELL KRASNE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1328 22ND ST PATHOLOGY DEPT
SANTA MONICA, CA 90404
(310) 829-8101
1801850722DR. WARREN MORSE ALLEN M.D.
Individual
Pathology (Cytopathology)1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8101
1538125489 GEORGE KEITH EDWARDS M.D.
Individual
Nuclear Medicine1328 22ND ST DEPARTMENT OF NUCLEAR MEDICINE
SANTA MONICA, CA 90404
(310) 829-8229
1033177399 YUKI TAKASUMI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1328 22ND ST DEPARTMENT OF PATHOLOGY
SANTA MONICA, CA 90404
(310) 829-8101
1235197849 AMY L KIJNER PA
Individual
Emergency Medicine1328 22ND ST
SANTA MONICA, CA 90404
(310) 582-7089
1356396782SAINT JOHN'S TOWER IMAGING MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)1328 22ND ST DEPARTMENT OF RADIOLOGY
SANTA MONICA, CA 90404
(310) 829-8814
1821032707 GINA M GABRESKI PA
Individual
Physician Assistant (Medical)1328 22ND ST
SANTA MONICA, CA 90404
(310) 582-7089
1134156227DR. KEVIN M. MILLER M.D.
Individual
Anesthesiology1328 22ND ST ST. JOHN'S ANESTHESIA DEPARTMENT
SANTA MONICA, CA 90404
(818) 712-0598
1629091814 LISA SCHWARTZ MD
Individual
Specialist1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8913
1194732032 NATHALIE ORLOFF MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1328 22ND ST PATHOLOGY DEPT
SANTA MONICA, CA 90404
(310) 829-8101
1063421378DR. SOPHIE M. ANDRIASCHUK M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1477564185MR. ROGER J. MAH M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1942211701NATALIE WANG, M.D., A PROFESSIONAL CORPORATION
Organization
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1306857982 DANIEL F KELLY MD
Individual
Neurological Surgery1328 22ND ST 3RD FLOOR
SANTA MONICA, CA 90404
(310) 202-6204
1851302517MR. ANTHONY H. MAISTER M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1578575395DR. GEORGE P. HERR M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1447262613MR. DANIEL H. MCDONALD M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202
1407969256 ANNE LANE P. MURRAY M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 471-5852
1770696510DR. JAMES W. COWMAN M.D.
Individual
Anesthesiology1328 22ND ST
SANTA MONICA, CA 90404
(310) 829-8202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417992868, enumerated in the NPI registry as an "organization" on June 19, 2006

The provider is located at 1328 22nd St Pathology Dept Santa Monica, Ca 90404 and the phone number is (310) 829-8101

This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 19, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.