YOSEMITE PATHOLOGY MEDICAL GROUP, INC
NPI 1750556718
Clinical Medical Laboratory in Modesto, CA

NPI Status: Active since April 29, 2008

Contact Information

1700 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 577-1200
Fax: (209) 577-6517

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  • Organization
  • Clinical Medical Laboratory

About YOSEMITE PATHOLOGY MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Yosemite Pathology Medical Group, Inc, a provider established in Modesto, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1750556718 assigned on April 2008. The practitioner's primary taxonomy code is 291U00000X with license number C50076 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Robert Colletti Mha (Chief Operating Officer)

NPI
1750556718
Provider Name
YOSEMITE PATHOLOGY MEDICAL GROUP, INC
Entity Type
Organization
Location Address
1700 COFFEE RD MODESTO, CA 95355
Location Phone
(209) 577-1200
Location Fax
(209) 577-6517
Mailing Address
PO BOX 576768 MODESTO, CA 95357
Mailing Phone
(209) 577-1200
Mailing Fax
(209) 577-6517
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2008
Last Update Date
04-29-2008
Code Navigator

Establishments like Yosemite Pathology Medical Group, Inc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
C50076
License State
CA
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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)
1291U00000XLaboratories

Clinical Medical Laboratory

A36914 (CA)
2291U00000XLaboratories

Clinical Medical Laboratory

G27612 (CA)

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

ROBERT COLLETTI MHA

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(209) 577-1200

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
GR0017742MEDICAID (05)CA 
ZZZ93345ZMEDICARE PIN (08)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.
1750556718
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001051272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 1 + 2 + 7 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1750556718 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
1982678587SUTTER CENTRAL VALLEY HOSPITALS
Organization
Emergency Medicine (Emergency Medical Services)1700 COFFEE RD
MODESTO, CA 95355
(209) 569-7172
1376508044DR. MANOUCHEHR AZAD M.D.
Individual
Radiology (Radiation Oncology)1700 COFFEE RD DEPARTMENT OF RADIATION ONCOLOGY
MODESTO, CA 95355
(209) 572-7237
1851341176 RODGER SETH WINE MD
Individual
Anesthesiology1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1831129725DR. ROBERT WANKLIN MD
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1538172986 MARVIN D COVRIG MD APC
Individual
Anesthesiology1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1639286404 KANTHI N. KIRAN MD
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1326155052 LOREN D. BAUMAN PA
Individual
Physician Assistant (Medical)1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1750499497 CHRISTOPHER J. FREYE MD
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1306954052 MICHAEL R. SALOMON MD
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1497813893 ALFREDO L MONTELONGO MD
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1477698579DR. DENNIS LEE GARDNER M.D.
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1588793483 NANETTE L RIEDEMAN PA
Individual
Physician Assistant1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1790818557 SHELLEY M LUNG PA
Individual
Physician Assistant1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1619177912 ANDREW ANDERSON BRANKER RNFA
Individual
Registered Nurse (Registered Nurse First Assistant)1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1831388339DR. WILLIAM COOPER EIDENMULLER IV M.D.
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 569-7600
1184870222MS. JANET GANJEH RNFA
Individual
Registered Nurse1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1861437816DR. FRANK FOWER M.D.,FACEP
Individual
Emergency Medicine1700 COFFEE RD
MODESTO, CA 95355
(209) 572-7251
1437491933 MARTHA LUCIA CUAN LCSW
Individual
Social Worker (Clinical)1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500
1043643448MRS. KATHERINE ELIZABETH MADSEN N.P.
Individual
Registered Nurse1700 COFFEE RD
MODESTO, CA 95355
(209) 530-3404
1104231760RAYMOND HUNG MD, INC
Organization
Radiology (Diagnostic Radiology)1700 COFFEE RD
MODESTO, CA 95355
(209) 526-4500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750556718, enumerated in the NPI registry as an "organization" on April 29, 2008

The provider is located at 1700 Coffee Rd Modesto, Ca 95355 and the phone number is (209) 577-1200

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

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 April 29, 2008. 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.