CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
NPI 1457744120
Pathology - Anatomic Pathology & Clinical Pathology in Novato, CA
NPI Status: Active since March 05, 2015
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 05D0594734
- CLIA Cert. Type: Other - CANCER CENTER
- CLIA Exp. Date: 02-08-2027
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 Novato, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1457744120 assigned on March 2015. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 10 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 C. Moretto M.d. (Managing Partner)
- NPI
- 1457744120
- Provider Name
- CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 180 ROWLAND WAY NOVATO, CA 94945
- Location Phone
- (415) 209-1300
- Mailing Address
- PO BOX 26060 FRESNO, CA 93729
- Mailing Phone
- (559) 455-4065
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2015
- Last Update Date
- 03-05-2015
- Code Navigator
Location Map
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
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0594734
- Facility Type
- Other - CANCER CENTER
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- ANDREW J. BANDY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to California Pacific Pathology Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 4 | 5 | 7 | 7 | 4 | 4 | 1 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 14 | 4 | 8 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 4 + 4 + 8 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1457744120 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1225011422 | RICHARD BODONY MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (209) 342-2300 |
| 1487637518 | GEORGE CLIFFORD RYGG MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (209) 342-2300 |
| 1205819042 | MICHAEL YOUSIF ABBO MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (209) 342-2300 |
| 1952384695 | DR. TIMOTHY CHARLES GEE MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1499 |
| 1942284898 | JOHN CHARLES STEIN JR. MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (209) 342-2300 |
| 1689654964 | SUTTER MARIN Organization | General Acute Care Hospital | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
| 1891734265 | RALPH MAXIMILLIAN KOENKER M.D. Individual | Radiology (Diagnostic Radiology) | 180 ROWLAND WAY NOVATO, CA 94945 (415) 290-1500 |
| 1023107976 | DR. RANJIT SINGH HUNDAL M.D. Individual | Internal Medicine | 180 ROWLAND WAY NOVATO COMMUNITY HOSPITAL 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
| 1952583056 | MARIN HOSPITALISTMEDICALGROUP,INC Organization | General Acute Care Hospital | 180 ROWLAND WAY NOVATO, CA 94945 (415) 493-3333 |
| 1174793509 | MAYA NOYMAN-FAIN M.D. Individual | Internal Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1440 |
| 1679731228 | NICHOLE DESMOND RD Individual | Dietitian, Registered | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
| 1740590306 | NORTH BAY HOSPITAL MEDICINE GROUP, INC. Organization | Internal Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (415) 577-3667 |
| 1528086287 | DR. ROBERT LEE NEWBURY MD Individual | Internal Medicine (Critical Care Medicine) | 180 ROWLAND WAY NOVATO, CA 94945 (415) 897-9664 |
| 1558393678 | DR. HEATHER L LUCAS EHMER D.O. Individual | Emergency Medicine | 180 ROWLAND WAY EMERGENCY DEPT NOVATO, CA 94945 (415) 209-1350 |
| 1326137464 | DR. WILLIAM ROGER BUDGE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 180 ROWLAND WAY NOVATO, CA 94945 (415) 408-5820 |
| 1750364865 | MARIN EMERGENCY PHYSICIANS MEDICAL GROUP, INC. Organization | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
| 1366426637 | WENDY ANNE COLE MD Individual | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (209) 342-2300 |
| 1558595090 | JACOB RICHARD ADAMS DO Individual | Internal Medicine (Critical Care Medicine) | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
| 1053766493 | JACOB R ADAMS DO INC Organization | Internal Medicine (Critical Care Medicine) | 180 ROWLAND WAY NOVATO, CA 94945 (209) 956-7725 |
| 1124577259 | CEP AMERICA - CALIFORNIA Organization | Emergency Medicine | 180 ROWLAND WAY NOVATO, CA 94945 (415) 209-1300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457744120, enumerated in the NPI registry as an "organization" on March 05, 2015
The provider is located at 180 Rowland Way Novato, Ca 94945 and the phone number is (415) 209-1300
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider's CLIA number is 05D0594734 for a "other - cancer center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 05, 2015. 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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