CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
NPI 1710300504
Pathology - Clinical Pathology/Laboratory Medicine in Lakeport, CA
About California Pacific Pathology Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP (NPI 1710300504) is a healthcare organization registered as a clinical pathology/laboratory medicine in Lakeport, California and active in the NPI registry since January 2014. The organization lists John Christopher Moretto, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
California Pacific Pathology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to California Pacific Pathology Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
San Francisco, CA 94118
Philadelphia, PA 19104
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 California Pacific Pathology Medical Group's NPI number?
The NPI number for California Pacific Pathology Medical Group is 1710300504. It was assigned to this organization in the NPPES registry on January 29, 2014.
Where is California Pacific Pathology Medical Group located?
California Pacific Pathology Medical Group is located at 5176 Hill Rd E, Lakeport, CA 95453. The listed phone number is (707) 262-5000.
What is California Pacific Pathology Medical Group's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.
Is California Pacific Pathology Medical Group enrolled in Medicare?
Yes. California Pacific Pathology Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through California Pacific Pathology Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pathology, reassign their Medicare billing to California Pacific Pathology Medical Group. 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 California Pacific Pathology Medical Group was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# California Pacific Pathology Medical Group · NPI 1710300504
Clinical Pathology/Laboratory Medicine organization in Lakeport, California. Organization record, active in the CMS NPPES registry since January 29, 2014.
## Identity
- **NPI:** 1710300504 (Entity type: Organization)
- **Enumerated:** January 29, 2014
- **Primary specialty:** Pathology - Clinical Pathology/Laboratory Medicine · taxonomy 207ZP0105X
- **Organization subpart:** No
- **Authorized official:** John Moretto, MANAGING PARTNER
## Practice location
- **Address:** 5176 HILL RD E, Lakeport, CA 95453-6300
- **Phone:** (707) 262-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1710300504) · Data from the CMS NPPES public registry.