PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
NPI 1417992868
Pathology - Anatomic Pathology & Clinical Pathology in Santa Monica, CA
NPI Status: Active since June 19, 2006
Contact Information
1328 22ND ST
PATHOLOGY DEPT
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8101
Fax: (310) 829-6509
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 05D2320592
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 03-19-2027
About PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
This page provides the complete NPI Profile along with additional information for Pathology Medical Group Of Saint John's, a provider established in Santa Monica, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1417992868 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number G58882 (CA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is David L Krasne Md (Managing Partner)
- NPI
- 1417992868
- Provider Name
- PATHOLOGY MEDICAL GROUP OF SAINT JOHN'S
- Entity Type
- Organization
- Location Address
- 1328 22ND ST PATHOLOGY DEPT SANTA MONICA, CA 90404
- Location Phone
- (310) 829-8101
- Location Fax
- (310) 829-6509
- Mailing Address
- 1328 22ND ST PATHOLOGY DEPT SANTA MONICA, CA 90404
- Mailing Phone
- (310) 829-8101
- Mailing Fax
- (310) 829-6509
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2006
- Last Update Date
- 10-04-2007
- Code Navigator
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G58882
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X 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.
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 |
|---|---|---|---|
| HW13275 | MEDICARE PIN (08) | CA | |
| GR0095430 | MEDICAID (05) | 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
- 05D2320592
- Facility Type
- Independent
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- STEVEN E. KOLKER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pathology Medical Group Of Saint John's 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 1417992868, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417992868, enumerated as an "organization" on June 19, 2006.
The provider is located at 1328 22ND ST PATHOLOGY DEPT SANTA MONICA, CA 90404 and the phone number is (310) 829-8101.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
