AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
NPI 1730119553
Pathology - Anatomic Pathology & Clinical Pathology in Rancho Dominguez, CA
About Affiliated Pathologists Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. (NPI 1730119553) is a healthcare organization registered as an anatomic pathology & clinical pathology in Rancho Dominguez, California and active in the NPI registry since July 2006. The organization lists Stanette Kennebrew, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Affiliated Pathologists Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
61Medicare enrollment records show 61 clinicians reassign Medicare billing to Affiliated Pathologists Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 61Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2006397
Affiliated Pathologists Medical Group Inc · Rancho Dominguez, CAFrequently 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 Affiliated Pathologists Medical Group, Inc.'s NPI number?
The NPI number for Affiliated Pathologists Medical Group, Inc. is 1730119553. It was assigned to this organization in the NPPES registry on July 4, 2006.
Where is Affiliated Pathologists Medical Group, Inc. located?
Affiliated Pathologists Medical Group, Inc. is located at 20001 S Rancho Way, Rancho Dominguez, CA 90220. The listed phone number is (310) 225-3221.
What is Affiliated Pathologists Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Affiliated Pathologists Medical Group, Inc. enrolled in Medicare?
Yes. Affiliated Pathologists Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affiliated Pathologists Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 4 Medicare specialties reassign their Medicare billing to Affiliated Pathologists Medical Group, Inc.. 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. The largest specialties are Pathology (58), Dermatology (1) and General Practice (1). Of these, 6 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Affiliated Pathologists Medical Group, Inc. accept?
Health plans from Moda Health Plan, Inc. list Affiliated Pathologists Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Affiliated Pathologists Medical Group, Inc. was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Affiliated Pathologists Medical Group, Inc. · NPI 1730119553
Anatomic Pathology & Clinical Pathology organization in Rancho Dominguez, California. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1730119553 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Stanette Kennebrew, ADMINISTRATOR
## Practice location
- **Address:** 20001 S RANCHO WAY, Rancho Dominguez, CA 90220-6318
- **Phone:** (310) 225-3221 · **Fax:** (310) 698-7040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 61 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pathology (58), Dermatology (1), General Practice (1); 6 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1730119553/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2025
- **Other identifiers:** Medicaid GR0082250 (CA); Medicaid GR0076820 (CA); Medicaid GR0023280 (CA); and 7 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730119553) · Data from the CMS NPPES public registry.