IRVINE PATHOLOGY MEDICAL GROUP INC
NPI 1619077724
Specialist in Irvine, CA

Active since September 25, 2006CLIA 05D1090909 · Certificate of Compliance
15375 BARRANCA PKWY, STE H-105, IRVINE, CA 92618(949) 387-8111(949) 387-6163 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Irvine Pathology Medical Group Inc NPPES

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

IRVINE PATHOLOGY MEDICAL GROUP INC (NPI 1619077724) is a healthcare organization registered as a specialist in Irvine, California and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 17, 2027 and lists Alan M Rushovich, President, as its authorized official.

NPPES Registry Identity

NPI1619077724
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIRVINE PATHOLOGY MEDICAL GROUP INC
Location Address15375 BARRANCA PKWY, STE H-105Irvine, CA 92618-2209
Mailing Address15375 Barranca Pkwy, Ste H-105Irvine, CA 92618-2209 · (949) 387-8111 · Fax (949) 387-6163
Fax(949) 387-6163
Organization SubpartNo
Authorized OfficialAlan M RushovichPresident · (949) 387-8111
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 30, 2019
NPI 1619077724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · FNP19555
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

15375 BARRANCA PKWY, Irvine, CA 92618

Other Identifiers 1

MedicaidGR0057490CA

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

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 Compliance 05D1090909

Irvine Pathology Medical Group Inc · Irvine, CA
Active · expires Aug 17, 2027
CLIA Number05D1090909
Laboratory TypeIndependent
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorAlan M. Rushovich
Laboratory Phone(949) 387-8111
Laboratory LocationIrvine Pathology Medical Group Inc15375 Barranca Pkwy, Ste H-105, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adolescent and Children Mental Health)
15375 BARRANCA PKWY, SUITE B-101
IRVINE, CA 92618
Specialist
15375 BARRANCA PKWY, STE H-105
IRVINE, CA 92618
Clinical Medical Laboratory
15375 BARRANCA PKWY, SUITE F-101
IRVINE, CA 92618
Clinical Medical Laboratory
15375 BARRANCA PKWY, SUITE - E-101
IRVINE, CA 92618
Clinic/Center (Adolescent and Children Mental Health)
15375 BARRANCA PKWY, UNIT B101
IRVINE, CA 92618
Chiropractor
15375 BARRANCA PKWY, #A104
IRVINE, CA 92618

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 Irvine Pathology Medical Group Inc's NPI number?

The NPI number for Irvine Pathology Medical Group Inc is 1619077724. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Irvine Pathology Medical Group Inc located?

Irvine Pathology Medical Group Inc is located at 15375 Barranca Pkwy Ste H-105, Irvine, CA 92618. The listed phone number is (949) 387-8111.

What is Irvine Pathology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Irvine Pathology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1090909) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irvine Pathology Medical Group Inc was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.