NPIMap

Organization Active NPI

Pacific Pathology Medical Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Campbell, CA
National Provider Identifier
1194719740
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PACIFIC PATHOLOGY MEDICAL ASSOCIATES
Practice address
1322 White Oaks Rd
Campbell, CA 95008-6723
Phone
(458) 252-9707
Fax
(408) 628-4283
NPI assigned
Sep 8, 2005
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Dorothy Wong, M.D.NPI 1932542008
Title
Managing Partner
Phone
(408) 628-4280

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 NU Primary

Addresses

Primary practice location

1322 White Oaks Rd
Campbell, CA 95008-6723

Mailing address

PO Box 846209
Los Angeles, CA 90084-6209
Phone (458) 252-9707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108001232 CA Part B Supplier - Clinic/Group Practice 0446150395 Receives reassigned benefits from 5 practitioners
Practice locations: Campbell, CA; Daly City, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

675 E Santa Clara St
San Jose, CA 95112
Phone (408) 559-2211

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1194719740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900846209",
            "telephone_number": "458-252-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 WHITE OAKS RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086723",
            "telephone_number": "458-252-9707",
            "fax_number": "408-628-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PATHOLOGY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "408-628-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.