1. Home
  2. Directory
  3. California
  4. Rancho Dominguez
  5. Pathology
  6. NPI Profile

AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
NPI 1730119553
Pathology - Anatomic Pathology & Clinical Pathology in Rancho Dominguez, CA

Active since July 04, 2006
20001 S RANCHO WAY, RANCHO DOMINGUEZ, CA 90220(310) 225-3221(310) 698-7040 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2025, Jun 14, 2021 (2 updates tracked since 2021).

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

NPI1730119553
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameAFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
Location Address20001 S RANCHO WAYRancho Dominguez, CA 90220-6318
Mailing Address20001 S Rancho WayRancho Dominguez, CA 90220-6318 · (310) 225-3221 · Fax (310) 698-7040
Phone(310) 225-3221
Fax(310) 698-7040
Organization SubpartNo
Authorized OfficialStanette KennebrewAdministrator · (310) 225-3221
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1730119553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
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.
20001 S RANCHO WAY, Rancho Dominguez, CA 90220
Open in Google Maps ↗

Other Identifiers 10

MedicaidGR0082250CA
MedicaidGR0076820CA
MedicaidGR0023280CA
MedicaidGR0085330CA
MedicaidGR0085337CA
MedicaidGR0017680CA
MedicaidGR0055010CA
MedicaidGR0085336CA
MedicaidGR0085333CA
MedicaidGR0054410CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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, CA
Expired · Jul 31, 2026
CLIA Number05D2006397
Laboratory TypeIndependent
Certificate Effective DateDecember 1, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. James B. Harris
Laboratory Phone(310) 225-3221
Laboratory LocationAffiliated Pathologists Medical Group Inc20001 S Rancho Way, Rancho Dominguez, CA 90220
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 5

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

MIRIAM A VELAZQUEZ DO
Pathology (Anatomic Pathology & Clinical Pathology)
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220
Los Angeles County (310) 225-3221
DANIEL REAL MD
Pathology (Anatomic Pathology & Clinical Pathology)
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220
Los Angeles County (310) 225-3244
DR. STACY J ARNOLD M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220
Los Angeles County (310) 225-3221
ALESSANDRO DE VITO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220
Los Angeles County (310) 225-3244
RASAM HAJIANNASAB MD
Pathology (Anatomic Pathology & Clinical Pathology)
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220
Los Angeles County (310) 225-3221

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 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.

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 17 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.