Stockton Pathology Medical Group

A Medicare group practice based in Stockton, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8820073455), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820073455The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CA
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040618001373 CA Part B Supplier - Clinic/Group Practice 1871522680
O20240826002503 CA Part B Supplier - Independent Clinical Laboratory 1205213196

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page