NPIMap

Organization Active NPI

Orange County Pathology Medical Group, Inc

Doing business as Pathology Diagnostic Consultants Inc.

  • Clinical Medical Laboratory
  • Orange, CA
National Provider Identifier
1407938996
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC
Doing business as
Pathology Diagnostic Consultants Inc.
Practice address
805 W la Veta Ave
Suite 104
Orange, CA 92868-3928
Phone
(714) 288-4044
NPI assigned
Oct 20, 2006
Organization subpart
Yes
Parent organization
ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Aaron Sassoon, PHD MDNPI 1962581967
Title
President
Phone
(714) 288-4044

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 Primary

Addresses

Primary practice location

805 W la Veta Ave
Suite 104
Orange, CA 92868-3928

Mailing address

5856 Corporate Ave
Suite 200
Cypress, CA 90630-4754
Phone (714) 229-7619

Other identifiers 1

IdentifierTypeStateIssuer
GR0065950MedicaidCA

Other names 1

  • Pathology Diagnostic Consultants Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Orange County Pathology

Locations

1201 W La Veta Ave
Ste 608
Orange, CA 92868
Phone (714) 288-4044

805 W La Veta Ave
Ste 104
Orange, CA 92868
Phone (714) 288-4044

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1201 W La Veta Ave
#608
Orange, CA 92868
Phone (714) 288-4044

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1407938996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 CORPORATE AVE",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304754",
            "telephone_number": "714-229-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE",
            "address_2": "SUITE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "714-288-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC.",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "SASSOON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-288-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Diagnostic Consultants Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.