Orange Regional Pathology Associates

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

05D0058772 Issued in CA

Legal business name

ORANGE REGIONAL PATHOLOGY ASSOCIATES

Doing business as

Oc Path Medical Group

Practice address

2231 S Western Ave
Los Angeles, CA 90018-1302

Phone

(323) 730-7371

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Jon P Lake, MDNPI 1295768786

Title

President

Phone

(323) 730-7371

Specialties & licenses 1

Addresses

Other names 1

• OC PATH MEDICAL GROUP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon P Lake, MD

  • Cytopathology Physician
  • Garden Grove, CA
  • NPI 1295768786

  Anatomic Pathology & Clinical Pathology

  NPD (past) Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1215283619",
    "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": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181302",
            "telephone_number": "323-730-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE REGIONAL PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-730-7371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0058772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC PATH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• May Or
• Vivian Or
• Wah Kuk Or, IMF - REGISTERED
• Nicole Anjelica Magat Oracion
• Oral Pathology Associates, Inc.
• Cindy Orante Gil
• Leslie Yvette Orantes
• Sandra Leticia Orantes, LVN1
• Victor A Oranusi, M.D.
• Richard G Oravec, D.O.

• Anatomic Pathology & Clinical Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 3, 2012; 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.