Organization Active NPI

Northern California Uropathology PC

  • Clinical Medical Laboratory
  • San Rafael, CA
National Provider Identifier
1053507442
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
A98379 Issued in CA
Legal business name
NORTHERN CALIFORNIA UROPATHOLOGY PC
Practice address
802 B St
San Rafael, CA 94901-3026
Phone
(415) 734-8726
Fax
(415) 762-4220
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Joseph Michael Anderson, M.D.NPI 1003002494
Title
Medical Director
Phone
(415) 734-8726

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
Clinical Medical Laboratory 291U00000X A98379 CA Primary

Addresses

Primary practice location

802 B St
San Rafael, CA 94901-3026

Mailing address

802 B St
San Rafael, CA 94901-3026
Phone (415) 734-8726

National Provider Directory

National Provider Directory

Locations

802 B St
San Rafael, CA 94901
Phone (415) 734-8726

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1053507442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 B ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013026",
            "telephone_number": "415-734-8726",
            "fax_number": "415-762-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 B ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013026",
            "telephone_number": "415-734-8726",
            "fax_number": "415-762-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA UROPATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-734-8726",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A98379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.