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WESTERN PATHOLOGY INC
NPI 1780924233
Pathology - Anatomic Pathology & Clinical Pathology in San Luis Obispo, CA

Active since February 20, 2013CLIA Certified · 3 labs
3440 EMPRESA DR, SUITE B, SAN LUIS OBISPO, CA 93401(805) 543-5000(805) 543-5199 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2024, Jun 14, 2024, Sep 1, 2016 (3 updates tracked since 2016).

About Western Pathology Inc NPPES

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

WESTERN PATHOLOGY INC (NPI 1780924233) is a healthcare organization registered as an anatomic pathology & clinical pathology in San Luis Obispo, California and active in the NPI registry since February 2013. The organization holds 3 active CLIA laboratory certificates and lists Kurt F Lundquist, Authorized Official/president, as its authorized official.

NPPES Registry Identity

NPI1780924233
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameWESTERN PATHOLOGY INC
Location Address3440 EMPRESA DR, SUITE BSan Luis Obispo, CA 93401-7345
Mailing AddressPo Box 84392Seattle, WA 98124-5692 · (805) 548-1550
Phone(805) 543-5000
Fax(805) 543-5199
Organization SubpartNo
Authorized OfficialKurt F LundquistAuthorized Official/president · (805) 748-6214
Enumeration DateFebruary 20, 2013
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1780924233 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.
3440 EMPRESA DR, San Luis Obispo, CA 93401
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Pathology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Western Pathology Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ryan Berry, MD
Pathology
NPI 1356607444
3440 EMPRESA DR STE B
San Luis Obispo, CA 93401
(805) 548-1550
✔ PECOS✔ Accepts MedicareSame address
Kurt Lundquist, M.D.
Pathology
NPI 1437194131
3701 S HIGUERA ST STE 200
San Luis Obispo, CA 93401
(805) 541-6033
✔ PECOS✔ Accepts Medicare0.3 mi
Bruce Ragsdale, M.D.
Pathology
NPI 1225072374
3701 S HIGUERA ST STE 200
San Luis Obispo, CA 93401
(805) 541-6033
✔ PECOS0.3 mi

Source: 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 3

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 05D2107950

Western Pathology Inc · San Luis Obispo, CA
Active · expires Oct 4, 2028
CLIA Number05D2107950
Laboratory TypeIndependent
Certificate Effective DateOctober 5, 2026
Certificate Expiration DateOctober 4, 2028
Laboratory DirectorKurt F. Lundquist
Laboratory Phone(805) 543-5000
Laboratory LocationWestern Pathology Inc3440 Empresa Dr, Ste B, San Luis Obispo, CA 93401
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.

Certificate of Compliance 05D2227171

Western Pathology, Inc · Irvine, CA
Active · expires Apr 2, 2027
CLIA Number05D2227171
Laboratory TypeIndependent
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorKurt F. Lundquist
Laboratory Phone(805) 543-5000
Laboratory LocationWestern Pathology, Inc1 Technology Dr, Ste C-523, Irvine, CA 92618
CLIA data matches this NPI record on: 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.

Certificate of Compliance 05D2163759

Western Pathology Inc. · Santa Barbara, CA
Active · expires Nov 30, 2026
CLIA Number05D2163759
Laboratory TypeIndependent
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorRyan S. Berry
Laboratory Phone(805) 543-5000
Laboratory LocationWestern Pathology Inc.215 Pesetas Lane, Santa Barbara, CA 93110
CLIA data matches this NPI record on: 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.

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 Western Pathology Inc's NPI number?

The NPI number for Western Pathology Inc is 1780924233. It was assigned to this organization in the NPPES registry on February 20, 2013.

Where is Western Pathology Inc located?

Western Pathology Inc is located at 3440 Empresa Dr Suite B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-5000.

What is Western Pathology Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Western Pathology Inc enrolled in Medicare?

Yes. Western Pathology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Pathology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pathology, reassign their Medicare billing to Western Pathology 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Western Pathology Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Western Pathology Inc was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.