PACIFIC ORAL & MAXILLOFACIAL PATHOLOGY LABORATORY
NPI 1407273279
Dentist - Oral and Maxillofacial Pathology in San Francisco, CA

NPI Status: Active since March 18, 2014

Contact Information

155 5TH ST
POPL SUITE 407E
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 929-6560
Fax: (415) 929-6654

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  • Organization
  • Dentist
  • Oral and Maxillofacial Pathology
  • CLIA Number: 05D0643664
  • CLIA Cert. Type: Other - ORAL PATHOLOGY
  • CLIA Exp. Date: 08-18-2027

About PACIFIC ORAL & MAXILLOFACIAL PATHOLOGY LABORATORY

This page provides the complete NPI Profile along with additional information for Pacific Oral & Maxillofacial Pathology Laboratory, a provider established in San Francisco, California operating as a Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1407273279 assigned on March 2014. The practitioner's primary taxonomy code is 1223P0106X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pacific Oral & Maxillofacial Pathology Laboratory operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pacific Oral & Maxillofacial Pathology Laboratory. The authorized official of this NPI record is Mr. Ed Pegueros (Asst Dean, Budget & Fin Admin)

NPI
1407273279
Provider Legal Name
UNIVERSITY OF THE PACIFIC
Other Organization Name
PACIFIC ORAL & MAXILLOFACIAL PATHOLOGY LABORATORY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
155 5TH ST POPL SUITE 407E SAN FRANCISCO, CA 94103
Location Phone
(415) 929-6560
Location Fax
(415) 929-6654
Mailing Address
155 5TH ST POPL SUITE 407E SAN FRANCISCO, CA 94103
Mailing Phone
(415) 929-6560
Mailing Fax
(415) 929-6654
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-18-2014
Last Update Date
07-22-2020
Code Navigator

A dentist like Pacific Oral & Maxillofacial Pathology Laboratory is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist Oral and Maxillofacial Pathology

Taxonomy Code
1223P0106X
Type
Dental Providers
Taxonomy Description
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. ED PEGUEROS

Authorized Official Title
ASST DEAN, BUDGET & FIN ADMIN
Authorized Official Phone
(415) 351-7192

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
CLF 00002594OTHER (01)CASTATE ID NUMBER
05D0643664OTHER (01)CACLIA NUMBER

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 768 times for 701 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 21 times for 21 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 32 times for 32 patients

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
05D0643664
Facility Type
Other - ORAL PATHOLOGY
Certificate Effective Date
August 19, 2025
Certificate Expiration Date
August 18, 2027
Laboratory Director
DARREN P. COX DDS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pacific Oral & Maxillofacial Pathology Laboratory 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407273279, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 4 + 7 + 6 + 2 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1407273279.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (Pediatric Dentistry)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (Oral and Maxillofacial Surgery)
155 5TH ST, SUITE 350
SAN FRANCISCO, CA 94103
Dentist (General Practice)
155 5TH ST, STE 2F
SAN FRANCISCO, CA 94103
Audiologist
155 5TH ST, AUDIOLOGY CLINIC
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST, NOT IN USE
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (Endodontics)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (General Practice)
155 5TH ST, A. A. DUGONI SCHOOL OF DENTISTRY
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (Periodontics)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (General Practice)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (Prosthodontics)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (General Practice)
155 5TH ST
SAN FRANCISCO, CA 94103
Dentist (General Practice)
155 5TH ST
SAN FRANCISCO, CA 94103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407273279, enumerated as an "organization" on March 18, 2014.

The provider is located at 155 5TH ST POPL SUITE 407E SAN FRANCISCO, CA 94103 and the phone number is (415) 929-6560.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.