Pacific Point Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PACIFIC POINT LABORATORIES, INC.

Practice address

3701 S Higuera St Ste 200
San Luis Obispo, CA 93401-7462

Phone

(805) 541-6033

Fax

(805) 541-6916

NPI assigned

Oct 26, 2005

Last updated

Apr 18, 2024By 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

Cory A Roberts, MD, MBA

Title

President

Phone

(214) 237-1641

Specialties & licenses 1

Addresses

Other names 1

• WestPac Labs, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Kurt L Lundquist, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437194131
  NPD
• Bruce D Ragsdale, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1225072374
  NPD
• Melissa Christine Edginton, NP-C

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1093136269
  NPD (past)
• Taylor Sene Holly, NP

  • Family Nurse Practitioner
  • West Hills, CA
  • NPI 1982412045
  NPD (past)
• Derrick V Marinelli, M.D.

  • Urology Physician
  • Fullerton, CA
  • NPI 1689897761
  NPD (past)
• Tricia Ruth McNeal, AGNP

  • Adult Health Nurse Practitioner
  • Walnut Creek, CA
  • NPI 1902299506
  NPD (past)
• Louiedette Paige Presuel

  • Family Nurse Practitioner
  • Loma Linda, CA
  • NPI 1285339945
  NPD (past)
• Ronald E Rocha, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
  • NPI 1780611533
  NPD (past)
• Linda Pauleen Veneman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bakersfield, CA
  • NPI 1578579041
  NPD (past)
• Lindsey Michelle Lee, DNP

  • Family Nurse Practitioner
  • Jupiter, FL
  • NPI 1285309229
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1457341851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-541-6033",
            "fax_number": "805-541-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-541-6033",
            "fax_number": "805-541-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC POINT LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-237-1641",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WestPac Labs, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pacific Coast Audiology, Inc.
• Pacific Coast Physicians Medical Group
• Pacific Eye Surgeons, a California Professional Medical Corporation
• Pacific Medical, Inc.
• Pacific Pediatric Dentistry
• Pacific Psychiatry Inc.
• Pacific Psychiatry Inc., a Professional Medical Corporation (Pacific Psychiatry,Inc.)
• Pacific Surgery Center of San Luis Obispo, LLC
• Pacifica Slo LLC (Avila Senior Living At Downtown SLO)
• Grace Marie Padden

• Clinical Medical Laboratory in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Apr 18, 2024; 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.