NPIMap

Organization Active NPI

Precision Pathology Medical Group Inc

  • Clinical Medical Laboratory
  • San Ramon, CA
National Provider Identifier
1356662209
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRECISION PATHOLOGY MEDICAL GROUP INC
Practice address
6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone
(925) 275-8408
Fax
(925) 275-8362
NPI assigned
Jun 15, 2010
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
YOSEMITE PATHOLOGY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Anthony Victorio, MDNPI 1659593606
Title
President
Phone
(209) 577-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

6001 Norris Canyon Rd
San Ramon, CA 94583-5400

Mailing address

PO Box 576730
Modesto, CA 95357-6730
Phone (209) 577-1200

National Provider Directory

National Provider Directory
Part of
Yosemite Path Med GRP I

Locations

7750 College Town Dr
Ste 102
Sacramento, CA 95826
Phone (916) 444-0889

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1356662209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576730",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576730",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835400",
            "telephone_number": "925-275-8408",
            "fax_number": "925-275-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOSEMITE PATHOLOGY MEDICAL GROUP",
        "enumeration_date": "2010-06-15",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "VICTORIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-577-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.