Outpatient Pathology Associates

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

CLF4818 Issued in CA

Legal business name

OUTPATIENT PATHOLOGY ASSOCIATES

Practice address

7750 College Town Dr
102
Sacramento, CA 95826-2356

Phone

(916) 444-0889

Fax

(916) 444-6016

NPI assigned

Aug 8, 2006

Organization subpart

Yes

Parent organization

OUTPATIENT PATHOLOGY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Daniel A Egerter, MD

Title

President Pathologist

Phone

(916) 444-0889

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Outpatient Pathology Associates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1265442800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 COLLEGE TOWN DR",
            "address_2": "102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262356",
            "telephone_number": "916-444-0889",
            "fax_number": "916-444-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 COLLEGE TOWN DR",
            "address_2": "102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262356",
            "telephone_number": "916-444-0889",
            "fax_number": "916-444-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PATHOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTPATIENT PATHOLOGY ASSOCIATES",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "EGERTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT PATHOLOGIST",
        "authorized_official_telephone_number": "916-444-0889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "CLF4818",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "CLF4818",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "CLF4818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Anatomic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.