SAINT AGNES PATHOLOGY MEDICAL GROUP
NPI 1700804689
Pathology - Clinical Pathology/Laboratory Medicine in Fresno, CA
NPI Status: Active since July 18, 2006
Contact Information
1303 E. HERNDON AVENUE
FRESNO, CA
ZIP 93720
Phone: (559) 450-3130
Fax: (559) 450-2035
- Organization
- Pathology
- Clinical Pathology/Laboratory Medicine
- CLIA Number: 05D0965066
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 09-10-2027
About SAINT AGNES PATHOLOGY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Saint Agnes Pathology Medical Group, a provider established in Fresno, California operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1700804689 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 10 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 Wei Fang M.d. (Authorized Official)
- NPI
- 1700804689
- Provider Name
- SAINT AGNES PATHOLOGY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1303 E. HERNDON AVENUE FRESNO, CA 93720
- Location Phone
- (559) 450-3130
- Location Fax
- (559) 450-2035
- Mailing Address
- P.O. BOX 3246 PINEDALE, CA 93350
- Mailing Phone
- (559) 450-3130
- Mailing Fax
- (559) 450-2035
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 03-25-2016
- 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 Clinical Pathology/Laboratory Medicine
- Taxonomy Code
- 207ZP0105X
- 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.
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 |
|---|---|---|---|
| CG2695 | MEDICARE PIN (08) | CA | |
| ZZZ30022Z | MEDICARE PIN (08) | CA | |
| GR0041880 | 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
- 05D0965066
- Facility Type
- Hospital
- Certificate Effective Date
- September 11, 2025
- Certificate Expiration Date
- September 10, 2027
- Laboratory Director
- GURVINDER KAUR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Agnes Pathology Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1700804689, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FRESNO, CA 93720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700804689, enumerated as an "organization" on July 18, 2006.
The provider is located at 1303 E. HERNDON AVENUE FRESNO, CA 93720 and the phone number is (559) 450-3130.
Pathology with taxonomy code 207ZP0105X and a focus in Clinical Pathology/Laboratory Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
