NPIMap

Organization Active NPI

North Coast Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Oceanside, CA
National Provider Identifier
1033123377
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
NORTH COAST PATHOLOGY MEDICAL GROUP INC
Practice address
4002 Vista Way
Oceanside, CA 92056-4506
Phone
(760) 634-3230
Fax
(760) 940-7934
NPI assigned
Jul 29, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marcus Contardo, M.D.NPI 1033133285
Title
President
Phone
(760) 634-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056-4506

Mailing address

PO Box 2829
Del Mar, CA 92014-5829
Phone (619) 325-8726

Other identifiers 2

IdentifierTypeStateIssuer
GR0022390MedicaidCA
ZZZ98632ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109001144 CA Part B Supplier - Clinic/Group Practice 0840190401 Receives reassigned benefits from 8 practitioners
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1033123377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2829",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920145829",
            "telephone_number": "619-325-8726",
            "fax_number": "619-325-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-634-3230",
            "fax_number": "760-940-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CONTARDO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-634-3230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ98632Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.