Xiangdong Xu, M.D., PH.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A113380 Issued in CA

Practice address

3350 La Jolla Village Dr
Mail Code 113
San Diego, CA 92161-0002

Phone

(858) 642-1415

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Care Associates, a Medical CorporationGroup PAC ID 6406995406, 7 clinicians

Pacific Pathology Medical AssociatesGroup PAC ID 0446150395, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289
• Chinese Hospital Hospital, San Francisco, CA, CCN 050407

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Digestive Care Associates, a Medical Corporation

  • Gastroenterology Physician
  • San Carlos, CA
  • NPI 1831323575
  Medicare reassignment Care Compare group NPD
• Pacific Pathology Medical Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Campbell, CA
  • NPI 1194719740
  Medicare reassignment Care Compare group NPD
• Providence Facey Medical Foundation

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588
  Medicare reassignment NPD
• Regents of the University of California

  • Surgery Physician
  • San Diego, CA
  • NPI 1740382993
  Medicare reassignment NPD
• South Bay Pathology Medical Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Campbell, CA
  • NPI 1811981434
  Medicare reassignment NPD
• Contra Costa Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Daly City, CA
  • NPI 1548875198
  NPD
• Digestive Care Medical Center Inc

  • Ambulatory Surgical Clinic/Center
  • San Carlos, CA
  • NPI 1891889945
  NPD
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  NPD
• Regents of the University of California

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
  • NPI 1831208826

  Hematology

  NPD
• San Jose Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Campbell, CA
  • NPI 1053305532

  Hematology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Seton Medical Center LLC

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1023636545
  Care Compare affiliation
• Ahmc Seton Medical Center LLC

  • Psychiatric Hospital Unit
  • Daly City, CA
  • NPI 1639797855
  Care Compare affiliation
• Chinese Hospital Association

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1992898837
  Care Compare affiliation

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1366798720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "MAIL CODE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-642-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "MAIL CODE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-642-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "XIANGDONG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A113380",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A113380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Lou Xu, MD
• Jennie Ninh Xu, PA-C
• Marian Xu, M.D.
• Randi Xu
• Ryan Xu
• Xuejie Xu
• Yongmei Xu, PHARM.D.
• Xuan Lam DMD, Inc
• Christine Xue
• Hui Xue, MD

• Anatomic Pathology & Clinical Pathology Physician in San Diego, CA
• Providers in San Diego, 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 Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.