Pacific Oral Pathology Laboratory

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

PACIFIC ORAL PATHOLOGY LABORATORY

Practice address

155 5TH St
San Francisco, CA 94103-2919

Phone

(415) 929-6572

NPI assigned

Apr 4, 2006

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lewis Eversole, DDS

Title

President

Phone

(415) 929-6572

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Darren P Cox, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1942264403
  NPD
• Phillip Merrell, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1316974454
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1093777278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ORAL PATHOLOGY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "EVERSOLE",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-929-6572",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB64366F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Internal Medicine Associates
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Neurodiagnostics LLC
• Pacific Neurophysiolgical Systems
• Pacific Neurophysiological Systems
• Pacific Pain Treatment Center
• Pacific Pediatrics Med GRP Inc
• Pacific Reproductive Services
• Pacific Reproductive Services, Inc.
• Pacific Rheumatology Associates Medical Group

• Dental Laboratory in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.