CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
NPI 1457744120
Pathology - Anatomic Pathology & Clinical Pathology in Novato, CA
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 05D0594734
- CLIA Cert. Type: Other - CANCER CENTER
- CLIA Exp. Date: 02-08-2027
About CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for California Pacific Pathology Medical Group, a provider established in Novato, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1457744120 assigned on March 2015. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 11 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 John C. Moretto M.d. (Managing Partner)
- NPI
- 1457744120 Verify this NPI
- Provider Name
- CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 180 ROWLAND WAY NOVATO, CA 94945
- Location Phone
- (415) 209-1300
- Mailing Address
- PO BOX 26060 FRESNO, CA 93729
- Mailing Phone
- (559) 455-4065
- Mailing Fax
- (770) 666-9103
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2015
- Last Update Date
- 03-05-2015
- 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
- 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.
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
- 05D0594734
- Facility Type
- Other - CANCER CENTER
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- ANDREW J. BANDY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to California Pacific Pathology Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
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NOVATO, CA 94945
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457744120, enumerated as an "organization" on March 05, 2015.
The provider is located at 180 ROWLAND WAY NOVATO, CA 94945 and the phone number is (415) 209-1300.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
