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
- 8820073455
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Stockton Pathology Medical Group
dba Stockton Pathology Medical Group Laboratory
- Clinical Medical Laboratory
- Stockton, CA
- NPI 1205213196
-
Stockton Pathology Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1871522680
Practice locations
- Stockton, CA3
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).
-
Andrew Fong, MD
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1679928394
-
David F Jensen, MD
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1881621175
-
Jeffrey Alan McDavit, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1588817662
-
Mark H Nishiki, MD
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1457385890
-
Lily Nga-Yan Pang, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1962623348
-
Thomas L Yu, MD
- Anatomic Pathology & Clinical Pathology Physician
- Stockton, CA
- NPI 1518991959
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.