Sonoran Desert Pathology Associates LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SONORAN DESERT PATHOLOGY ASSOCIATES LLC

Doing business as

Sonoran Desert Pathology Associates

Practice address

810 S Atlantic Blvd Ste a
Monterey Park, CA 91754-4750

Phone

(954) 800-1000

Fax

(954) 800-1111

NPI assigned

Oct 29, 2009

Last updated

Feb 2, 2021By 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

Robert M. Gerstein, MANAGING MEMBER

Title

Managing Partner

Phone

(954) 800-1000

Specialties & licenses 2

Addresses

Other names 1

• Sonoran Desert Pathology Associates Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1205162955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S ATLANTIC BLVD STE A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544750",
            "telephone_number": "954-800-1000",
            "fax_number": "954-800-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S ATLANTIC BLVD STE A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544750",
            "telephone_number": "954-800-1000",
            "fax_number": "954-800-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6061 NE 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333345007",
            "country_code": "US",
            "telephone_number": "954-800-1000",
            "fax_number": "954-800-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SONORAN DESERT PATHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GERSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-800-1000",
        "authorized_official_credential": "MANAGING MEMBER"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "CLF 4029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoran Desert Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarah Janea Soebianto, PHARMD
• Emigdio Solis Ramirez
• Sandra Sologuren, M.F.T.I
• Janelle Arlene Sonco
• Christine Lan-CHI Song, PHARM.D
• Jenny Michelle Soo Hoo, O.D.
• Kristine Victoria Carasig Sosa
• Bryan Soto
• Southern California Childrens Health Care Network
• Southern California Transportation Services LLC

• Clinical Medical Laboratory in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.