CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
NPI 1194120451
Pathology - Clinical Pathology/Laboratory Medicine in Santa Rosa, CA

Q: What is California Pacific Pathology Medical Group's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Active since October 29, 2014

30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403(707) 576-4315(707) 541-9112 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About California Pacific Pathology Medical Group NPPES

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

CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI 1194120451) is a healthcare organization registered as a clinical pathology/laboratory medicine in Santa Rosa, California and active in the NPI registry since October 2014. The organization lists John Christopher Moretto, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1194120451

Entity TypeOrganization

Primary Taxonomy207ZP0105X

Legal Business NameCALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP

Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436

Mailing AddressPo Box 26060Fresno, CA 93729-6060 · (707) 576-4315 · Fax (707) 541-9112

Phone(707) 576-4315

Fax(707) 541-9112

Organization SubpartNo

Authorized OfficialJohn Christopher MorettoManaging Partner · (415) 600-2200

Enumeration DateOctober 29, 2014

Last NPPES UpdateJune 12, 2019

✔ NPI 1194120451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

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.

30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403

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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 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)

California Pacific Pathology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to California Pacific Pathology Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

John Moretto, MD

Pathology

NPI 1023086717

3700 CALIFORNIA ST
San Francisco, CA 94118

(415) 600-2200

✔ PECOS✔ Accepts Medicare51 mi

Ian Jaffee, M.D.

Pathology

NPI 1376603399

3700 CALIFORNIA ST DEPARTMENT OF PATHOLOGY, 4TH FLOOR
San Francisco, CA 94118

(559) 455-4000

✔ PECOS✔ Accepts Medicare51 mi

Heba Kamal, MD

Pathology

NPI 1639146699

3700 CALIFORNIA ST
San Francisco, CA 94118

(415) 600-2200

✔ PECOS✔ Accepts Medicare51 mi

Andrew Bandy, M.D.

Pathology

NPI 1902148810

1805 FILLMORE ST APT 304
San Francisco, CA 94115

(765) 430-2941

✔ PECOS✔ Accepts Medicare52 mi

Lucy Han

Pathology

NPI 1003278714

1101 VAN NESS AVE
San Francisco, CA 94109

(415) 600-2200

✔ PECOS✔ Accepts Medicare52 mi

Eric Ollila, MD

Pathology

NPI 1982191995

300 PASTEUR DR
Stanford, CA 94305

(650) 723-4000

✔ PECOS✔ Accepts Medicare80 mi

Chistopher Soon, M.D.

Pathology

NPI 1972838399

300 PASTEUR DR LANE 235
Stanford, CA 94305

(650) 723-7211

✔ PECOS✔ Accepts Medicare80 mi

Bella Goyal, M.D.

Pathology

NPI 1427336684

1 BARNES JEWISH HOSPITAL PLZ
Saint Louis, MO 63110

(314) 294-0284

✔ PECOS✔ Accepts Medicare1,750 mi

Shine Yun, MD

Pathology

NPI 1730225046

3400 SPRUCE ST 1 MALONEY BUILDING
Philadelphia, PA 19104

(215) 662-3957

✔ PECOS✔ Accepts Medicare2,523 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 California Pacific Pathology Medical Group's NPI number?

The NPI number for California Pacific Pathology Medical Group is 1194120451. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is California Pacific Pathology Medical Group located?

California Pacific Pathology Medical Group is located at 30 Mark West Springs Rd, Santa Rosa, CA 95403. The listed phone number is (707) 576-4315.

What is California Pacific Pathology Medical Group's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is California Pacific Pathology Medical Group enrolled in Medicare?

Yes. California Pacific Pathology Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Pacific Pathology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pathology, reassign their Medicare billing to California Pacific Pathology Medical Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for California Pacific Pathology Medical Group was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.