AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST
NPI 1568702017
Pathology - Anatomic Pathology & Clinical Pathology in San Luis Obispo, CA

NPI Status: Active since February 20, 2013

Contact Information

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 546-7600

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 05D1048982
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 12-31-2024

About AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST

This page provides the complete NPI Profile along with additional information for Affiliated Pathologists Of The Central Coast, a provider established in San Luis Obispo, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1568702017 assigned on February 2013. The practitioner's primary taxonomy code is 207ZP0102X with license number 05D0921025 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. Affiliated Pathologists Of The Central Coast operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Wendy Antonio (Bookkeeper)

NPI
1568702017
Provider Name
AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST
Entity Type
Organization
Location Address
1010 MURRAY AVE SAN LUIS OBISPO, CA 93405
Location Phone
(805) 546-7600
Mailing Address
PO BOX 5007 SAN LUIS OBISPO, CA 93403
Mailing Phone
(805) 710-7308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2013
Last Update Date
06-20-2024
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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.
05D0921025
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

 

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.

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

WENDY ANTONIO

Authorized Official Title
BOOKKEEPER
Authorized Official Phone
(805) 710-7308

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
05D1048982
Facility Type
Independent
Certificate Effective Date
August 15, 2022
Certificate Expiration Date
December 31, 2024
Laboratory Director
DR. BRANDIE L. FIRETAG MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Affiliated Pathologists Of The Central Coast 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.

Reviews for AFFILIATED PATHOLOGISTS OF THE CENTRAL COAST

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568702017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128140402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 0 + 4 + 0 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1568702017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. MATTHEW JAMES BARRY DO

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO

Clinic/Center

(Radiology)

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 461-7080

DR. GLEN ARNOLD AQUINO MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SAN LUIS OBISPO

Pediatrics

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-7766

DR. JOHN LEE BASS NP, CNS, PHD

Nurse Practitioner

(Critical Care Medicine)

1010 MURRAY AVE
TRAUMA & EMERGENCY SURGERY, SVRMC
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-7821

DR. JESSE MATHES ROHDE D.O., MPH

Anesthesiology

1010 MURRAY AVE
ANESTHESIA DEPARTMENT
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

STEPHEN KWOK-SUM CHU MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

LISA RANDOLPH

Nurse Practitioner

(Family)

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-7600

MR. JUSTIN KEADLE PA-C

Physician Assistant

(Surgical)

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-1997

PAUL J WOLFROM DO

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

DR. CURBY DIRK JENKINS DO

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

LARRY SILVER M.D.

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

CHRISTOPHER R PEINADO MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

DR. KANG TSAU MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

RACHEL LEAH KYLER MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

DR. THOMAS KYLER MD

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

GARRETT T OWEN M.D.

Anesthesiology

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 928-1731

SHILPA PATEL

Pharmacist

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-7774

DR. GORDON A RYAN MD

Hospitalist

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 439-2998

KYLE RICHARD KELSON MD

Emergency Medicine

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405

(805) 546-7651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568702017, enumerated as an "organization" on February 20, 2013.

The provider is located at 1010 MURRAY AVE SAN LUIS OBISPO, CA 93405 and the phone number is (805) 546-7600.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.