Tma Pathology Services

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G66676 Issued in CA

Legal business name

TMA PATHOLOGY SERVICES

Practice address

647 Camino de Los Mares
223
San Clemente, CA 92673-2825

Phone

(949) 487-5100

Fax

(949) 487-7065

NPI assigned

Feb 16, 2010

Organization subpart

Yes

Parent organization

THOMAS G. HIROSE,M.D. APCAs reported in NPPES

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

Authorized official

Name

Dr. Thomas G Hirose, M.D.

Title

President/Owner

Phone

(310) 373-5700

Specialties & licenses 2

Addresses

Part of

Thomas G Hirose MD Apc

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1154643286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "223",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732825",
            "telephone_number": "949-487-5100",
            "fax_number": "949-487-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "223",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732825",
            "telephone_number": "949-487-5100",
            "fax_number": "949-487-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMA PATHOLOGY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS G. HIROSE,M.D. APC",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HIROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-373-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CA",
            "license": "G66676",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G66676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.