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PACIFIC PATHOLOGY, INC.
NPI 1457377541
Pathology - Anatomic Pathology & Clinical Pathology in San Diego, CA

Active since July 14, 2006
9292 CHESAPEAKE DRIVE, SUITE 100, SAN DIEGO, CA 92123(858) 576-9960(858) 576-6857 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pacific Pathology, Inc. NPPES

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

PACIFIC PATHOLOGY, INC. (NPI 1457377541) is a healthcare organization registered as an anatomic pathology & clinical pathology in San Diego, California and active in the NPI registry since July 2006. The organization lists John B. Campbell, Director, as its authorized official.

NPPES Registry Identity

NPI1457377541
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePACIFIC PATHOLOGY, INC.
Location Address9292 CHESAPEAKE DRIVE, SUITE 100San Diego, CA 92123-1059
Mailing Address9292 Chesapeake Drive, Suite 100San Diego, CA 92123-1059 · (858) 576-9960 · Fax (858) 576-6857
Phone(858) 576-9960
Fax(858) 576-6857
Organization SubpartNo
Authorized OfficialJohn B. CampbellDirector · (858) 576-9960
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 4, 2015
✔ NPI 1457377541 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.
9292 CHESAPEAKE DRIVE, San Diego, CA 92123
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Other Identifiers 6

Medicare PINWC39762A
Medicare PINWC39762D
Medicare PINX558873CA
Medicare PINW16551CA
Medicare PINWG43165C
MedicaidGR0055390CA

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Pathology, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Doyle Hansen, M.D.
Dermatology
NPI 1790868735
1679 E MAIN ST
El Cajon, CA 92021
(619) 442-9441
✔ PECOS✔ Accepts Medicare12 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0666715

Pacific Pathology Inc · San Diego, CA
Expired · Oct 1, 2026
CLIA Number05D0666715
Laboratory TypeIndependent
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDr. Doyle D. Hansen
Laboratory Phone(858) 576-9630
Laboratory LocationPacific Pathology Inc9292 Chesapeake Dr, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pacific Pathology, Inc.'s NPI number?

The NPI number for Pacific Pathology, Inc. is 1457377541. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Pacific Pathology, Inc. located?

Pacific Pathology, Inc. is located at 9292 Chesapeake Drive Suite 100, San Diego, CA 92123. The listed phone number is (858) 576-9960.

What is Pacific Pathology, Inc.'s specialty?

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

Is Pacific Pathology, Inc. enrolled in Medicare?

Yes. Pacific Pathology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Pathology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pacific Pathology, Inc.. 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 Pacific Pathology, Inc. was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.