NPIMap

Organization Active NPI

Contra Costa Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Walnut Creek, CA
National Provider Identifier
1437211646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CONTRA COSTA PATHOLOGY ASSOCIATES
Practice address
1601 Ygnacio Valley Rd # 201
Walnut Creek, CA 94598-3122
Phone
(925) 939-3000
Fax
(510) 964-0476
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernard Larner, MDNPI 1548341860
Title
Partner
Phone
(925) 939-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X CA Primary

Addresses

Primary practice location

1601 Ygnacio Valley Rd # 201
Walnut Creek, CA 94598-3122

Mailing address

PO Box 1440
Suisun City, CA 94585-4440
Phone (510) 964-0458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024001172 CA Part B Supplier - Clinic/Group Practice 6608893128 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
Practice locations: Concord, CA; Daly City, CA; Pleasant Hill, CA; San Francisco, CA; Walnut Creek, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Pathology Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3466 Mt Diablo Blvd
#C
Lafayette, CA 94549

399 Taylor Blvd
Ste 200
Pleasant Hill, CA 94523
Phone (925) 270-3575

1601 Ygnacio Valley Rd
#200
Walnut Creek, CA 94598

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437211646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854440",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD # 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-939-3000",
            "fax_number": "510-964-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARNER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-939-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.