AMERICAN WEST SKIN PATHOLOGY CONSULTATION SERVICE
NPI 1548456825
Dermatology - Dermatopathology in Yuba City, CA

NPI Status: Active since September 19, 2007

Contact Information

1007 LIVE OAK BLVD
STE A-1
YUBA CITY, CA
ZIP 95991
Phone: (530) 673-3790
Fax: (530) 673-5642

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 05D0617836
  • CLIA Cert. Type: Other - DERMATOLOGY-PATHOLOGY
  • CLIA Exp. Date: 06-30-2025

About AMERICAN WEST SKIN PATHOLOGY CONSULTATION SERVICE

This page provides the complete NPI Profile along with additional information for American West Skin Pathology Consultation Service, a provider established in Yuba City, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1548456825 assigned on September 2007. The practitioner's primary taxonomy code is 207ND0900X with license number 00A192080 (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 provider's is doing business as American West Skin Pathology Consultation Service. The authorized official of this NPI record is Dr. Leon Melvin Edelstein M.d. (President)

NPI
1548456825
Provider Legal Name
DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC
Other Organization Name
AMERICAN WEST SKIN PATHOLOGY CONSULTATION SERVICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1007 LIVE OAK BLVD STE A-1 YUBA CITY, CA 95991
Location Phone
(530) 673-3790
Location Fax
(530) 673-5642
Mailing Address
1007 LIVE OAK BLVD STE A-1 YUBA CITY, CA 95991
Mailing Phone
(530) 673-3790
Mailing Fax
(530) 673-5642
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-19-2007
Last Update Date
09-19-2007
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
00A192080
License State
CA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

00A192080 (CA)
2207N00000XAllopathic & Osteopathic Physicians

Dermatology

00A192080 (CA)
3207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

00A192080 (CA)
4207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

00A192080 (CA)
5207ZD0900XAllopathic & Osteopathic Physicians

Pathology
Dermatopathology

00A192080 (CA)
6207ZI0100XAllopathic & Osteopathic Physicians

Pathology
Immunopathology

00A192080 (CA)
7207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

00A192080 (CA)
8207ZP0213XAllopathic & Osteopathic Physicians

Pathology
Pediatric Pathology

00A192080 (CA)
9208D00000XAllopathic & Osteopathic Physicians

General Practice

00A192080 (CA)
10209800000XAllopathic & Osteopathic Physicians

Legal Medicine

00A192080 (CA)

Group Taxonomy 193400000X MULTIPLE 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

DR. LEON MELVIN EDELSTEIN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(530) 673-3790

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
A21651MEDICARE UPIN (02)CA 
00A192080MEDICAID (05)CA 
ZZZ29262ZMEDICARE OSCAR/CERTIFICATION (06)CA 

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
05D0617836
Facility Type
Other - DERMATOLOGY-PATHOLOGY
Certificate Effective Date
September 14, 2022
Certificate Expiration Date
June 30, 2025
Laboratory Director
LEON M. EDELSTEIN MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to American West Skin Pathology Consultation Service after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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.
1548456825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588851284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 8 + 5 + 1 + 2 + 8 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1548456825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518030006W A CENTER FOR WOMEN'S HEALTH
Organization
Obstetrics & Gynecology1007 LIVE OAK BLVD SUITE B2
YUBA CITY, CA 95991
(530) 713-5828
1023177870DR. LEON MELVIN EDELSTEIN M.D.
Individual
Dermatology (Dermatopathology)1007 LIVE OAK BLVD STE A-1
YUBA CITY, CA 95991
(530) 673-3790
1649203175DR. DOUGLAS GERMOND TOLLEY JR. M.D.
Individual
Obstetrics & Gynecology1007 LIVE OAK BLVD SUITE B2
YUBA CITY, CA 95991
(530) 671-8718
1083116701 MYKEALA JOY LAWTON-KERN BEHAVIOR TECHNICIAN
Individual
Behavior Technician1007 LIVE OAK BLVD
YUBA CITY, CA 95991
(530) 491-0092
1902826894DR. CHRISTOPHER G GENOBAGA M.D.
Individual
Obstetrics & Gynecology1007 LIVE OAK BLVD B2
YUBA CITY, CA 95991
(530) 671-8718
1558360032DR. GARY STEVEN BERNARD D.O
Individual
Obstetrics & Gynecology1007 LIVE OAK BLVD SUITE B2
YUBA CITY, CA 95991
(530) 671-8718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548456825, enumerated in the NPI registry as an "organization" on September 19, 2007

The provider is located at 1007 Live Oak Blvd Ste A-1 Yuba City, Ca 95991 and the phone number is (530) 673-3790

This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology

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.

The provider's CLIA number is 05D0617836 for a "other - dermatology-pathology" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on September 19, 2007. 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.