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GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE
NPI 1053305797
Pathology - Anatomic Pathology & Clinical Pathology in Glendale, CA

Active since September 08, 2005
1509 WILSON TER, GLENDALE, CA 91206(818) 409-8000(323) 265-5086 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 16, 2023, Aug 28, 2023 (2 updates tracked since 2023).

About Glendale Pathology Associates Medical Group Of Glendale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE (NPI 1053305797) is a healthcare organization registered as an anatomic pathology & clinical pathology in Glendale, California and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Woodland Hills and lists Michele Cosgrove, President, as its authorized official.

NPPES Registry Identity

NPI1053305797
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameGLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE
Location Address1509 WILSON TERGlendale, CA 91206-4007
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Phone(818) 409-8000
Fax(323) 265-5086
Organization SubpartNo
Authorized OfficialMichele CosgrovePresident · (818) 409-8000
Enumeration DateSeptember 8, 2005
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1053305797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
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.
1509 WILSON TER, Glendale, CA 91206
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Secondary Practice Location 1

Location 120350 Ventura Blvd Ste 205Woodland Hills, CA 91364-2488 · Phone (855) 687-5282

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendale Pathology Associates Medical Group Of Glendale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Glendale Pathology Associates Medical Group Of Glendale, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Michele Cosgrove, M.D.
Pathology
NPI 1295729937
1509 WILSON TER
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts MedicareSame address
Shulan Tian, M.D.
Pathology
NPI 1104986629
1509 WILSON TER
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts MedicareSame address
Ann Tan, M.D.
Pathology
NPI 1093976938
1200 N STATE ST LOS ANGELES COUNTY MEDICAL CENTER, GH ROOM 2900
Los Angeles, CA 90033
(323) 226-7149
✔ PECOS✔ Accepts Medicare6.4 mi
Sophie Stuart, MD
Pathology
NPI 1598260275
2051 MARENGO ST
Los Angeles, CA 90033
(323) 409-1000
✔ PECOS✔ Accepts Medicare6.6 mi
Dariush Sahmedini, M.D.
Pathology
NPI 1790771830
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
(323) 268-5000
✔ PECOS✔ Accepts Medicare6.9 mi
Chandrika Seneviratne, M.D.
Pathology
NPI 1083608731
1720 E C CHAVEZ AVE
Los Angeles, CA 90033
(323) 268-5000
✔ PECOS✔ Accepts Medicare7.0 mi
Amanda Zand
Pathology
NPI 1992383251
10833 LE CONTE AVE
Los Angeles, CA 90095
(310) 206-0944
✔ PECOS✔ Accepts Medicare14 mi
Glenn Littell, M.D.
Pathology
NPI 1457332512
2975 SYCAMORE DR
Simi Valley, CA 93065
(805) 955-6352
✔ PECOS✔ Accepts Medicare31 mi
Lawrence Willes, MD
Pathology
NPI 1255633442
200 W ARBOR DR # MC8720
San Diego, CA 92103
(619) 543-5966
✔ PECOS✔ Accepts Medicare114 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Pathology Associates Medical Group Of Glendale's NPI number?

The NPI number for Glendale Pathology Associates Medical Group Of Glendale is 1053305797. It was assigned to this organization in the NPPES registry on September 8, 2005.

Where is Glendale Pathology Associates Medical Group Of Glendale located?

Glendale Pathology Associates Medical Group Of Glendale is located at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 409-8000.

What is Glendale Pathology Associates Medical Group Of Glendale's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Glendale Pathology Associates Medical Group Of Glendale enrolled in Medicare?

Yes. Glendale Pathology Associates Medical Group Of Glendale is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glendale Pathology Associates Medical Group Of Glendale?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pathology, reassign their Medicare billing to Glendale Pathology Associates Medical Group Of Glendale. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Pathology Associates Medical Group Of Glendale was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.