Sterling Pathology Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11783 Issued in CA

Legal business name

STERLING PATHOLOGY MEDICAL CORPORATION

Practice address

3030 Old Ranch Pkwy
Suite 430
Seal Beach, CA 90740-2765

Phone

(562) 799-8900

Fax

(562) 799-8901

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Changgao Yang, M.D.NPI 1366435638

Title

Ceo

Phone

(562) 799-8900

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Sterling Pathology Natl Labs Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sterling Pathology Med GRP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Sterling Pathology Med Corp

  • Clinical Medical Laboratory
  • Seal Beach, CA
  • NPI 1174518302
  NPD tax ID
• Sterling Pathology Med Corp

  • Clinical Medical Laboratory
  • Seal Beach, CA
  • NPI 1467444893
  NPD tax ID
• Sterling Pathology Medical Corporation

  • Clinical Medical Laboratory
  • Westminster, CA
  • NPI 1780450817
  NPD tax ID

Locations

Practitioners 2

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

• Changgao Yang, MD

  • Dermatopathology (Pathology) Physician
  • Seal Beach, CA
  • NPI 1366435638
  Medicare reassignment NPD Authorized official
• Yongchao Li, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
  • NPI 1851824940

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1255324018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 OLD RANCH PKWY",
            "address_2": "SUITE 430",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402766",
            "telephone_number": "562-799-8900",
            "fax_number": "562-799-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 OLD RANCH PKWY",
            "address_2": "SUITE 430",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402765",
            "telephone_number": "562-799-8900",
            "fax_number": "562-799-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING PATHOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "CHANGGAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-799-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A622810",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A622810",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A62281A",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LAB LICENSE",
            "identifier": "CLF11783",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A622810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Pathology Natl Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sterling Pathology Natl Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey L. Lowman, DDS, Inc.
• Kevin Rafael Stanish
• Sierra Starke, DC
• Sterling Pathology Med Corp
• Sterling Pathology Med Corp
• Jill Ann Sterling-Erman, LMFT 34271
• Steven E. Gammer, M.D., Inc.
• Riley J Stuart, LMFT, LEP
• Randy Stuck
• Jennifer Lane Styzens, BCBA

• Clinical Medical Laboratory in Seal Beach, CA
• Providers in Seal Beach, 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 Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.