NPIMap

Organization Active NPI

Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Clovis, CA
National Provider Identifier
1144277633
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
05D0928145 Issued in CA
Legal business name
PATHOLOGY ASSOCIATES
Practice address
305 Park Creek Dr
Clovis, CA 93611-4426
Phone
(559) 326-2800
Fax
(559) 326-2801
NPI assigned
May 28, 2006
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. William C Pitts, M.D.NPI 1639110471
Title
Ceo
Phone
(559) 326-2800

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 05D0928145 CA Primary

Addresses

Primary practice location

305 Park Creek Dr
Clovis, CA 93611-4426

Mailing address

305 Park Creek Dr
Clovis, CA 93611-4426
Phone (559) 326-2800

Other identifiers 1

IdentifierTypeStateIssuer
GR0024530MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503000488 CA Part B Supplier - Clinic/Group Practice 9133168784 Receives reassigned benefits from 16 practitioners
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

2111 E Dakota Ave
Fresno, CA 93726
Phone (559) 459-1845

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1144277633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PARK CREEK DR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114426",
            "telephone_number": "559-326-2800",
            "fax_number": "559-326-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARK CREEK DR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114426",
            "telephone_number": "559-326-2800",
            "fax_number": "559-326-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-326-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0928145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0024530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.