Pacific Rim Pathology Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

207ZP0102X Issued in CA

Legal business name

PACIFIC RIM PATHOLOGY MEDICAL CORPORATION

Practice address

3030 Bunker Hill Street
Suite 201
San Diego, CA 92109

Phone

(858) 638-8120

NPI assigned

Nov 27, 2013

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Carry, MD

Title

Medical Director

Phone

(858) 939-3660

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pacific Rim Pathology Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pacific Rim Pathology Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
  • NPI 1922069087
  NPD tax ID

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1417388562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 CARROLL CANYON RD",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BUNKER HILL STREET",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-638-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM PATHOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "CARRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-939-3660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "207ZP0102X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "05D2058823",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Point Health Care Services Inc (Pacific Point Home Health & Palliative Care)
• Pacific Point Health Care Services, Inc. (Pacific Point Hospice & Palliative Care)
• Pacific Point Health Care Services, Inc. (Care Management by by Pacific Point)
• Pacific Respiratory Consultants, Inc
• Pacific Rim Pathology Medical Corporation
• Pacific Rim Pathology Medical Corporation
• Pacific Rim Pathology Medical Corporation
• Pacific Sleep Medicine Services, Inc
• Pacific Sleep Medicine Services, Inc (CardioSom)
• Pacific Sleep Medicine, a Medical Corporation

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, 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 Aug 3, 2021; 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.