Active NPI
Stephen Pinsk, M.D., Inc.
Doing business as Pathology Services
- Clinical Medical Laboratory
- Fort Bragg, CA
National Provider Identifier
1013060516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF3829
- Legal business name
- STEPHEN PINSK, M.D., INC.
- Doing business as
- Pathology Services
- Practice address
- 700 River Dr
Fort Bragg, CA 95437-5403 - Phone
- (707) 829-5883
- Fax
- (707) 829-5895
- NPI assigned
- Jan 19, 2007
- Last updated
- Oct 3, 2007
- Organization subpart
- Yes
- Parent organization
- STEPHEN PINSK, M.D., INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steve C. Mertens, M.D.
- Title
- President
- Phone
- (707) 829-5883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF3829 | CA | Primary |
Addresses
Primary practice location
700 River Dr
Fort Bragg, CA 95437-5403
Mailing address
PO Box 1676
Sebastopol, CA 95473-1676
Phone (707) 829-5883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0103110 | Medicaid | CA |
Other names 1
- Pathology Services
National Provider Directory
National Provider Directory- Part of
- Pathology Services
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Pathology/Laboratory Medicine Physician
- Sebastopol, CA
- NPI 1124034814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1013060516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1676",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954731676",
"telephone_number": "707-829-5883",
"fax_number": "707-829-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 RIVER DR",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375403",
"telephone_number": "707-829-5883",
"fax_number": "707-829-5895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN PINSK, M.D., INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STEPHEN PINSK, M.D., INC.",
"enumeration_date": "2007-01-19",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "MERTENS",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-829-5883",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF3829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103110",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathology Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.