Pacific Pathology, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PACIFIC PATHOLOGY, INC.

Practice address

9292 Chesapeake Drive
Suite 100
San Diego, CA 92123-1059

Phone

(858) 576-9960

Fax

(858) 576-6857

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John B. Campbell, M.D.

Title

Director

Phone

(858) 576-9960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pacific Pathology, Inc.

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1881618288

  9436187861

  Same PAC ID

Practitioners 1

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

• Doyle D Hansen, M.D.

  • Dermatology Physician
  • El Cajon, CA
  • NPI 1790868735
  Medicare reassignment

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1457377541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9292 CHESAPEAKE DRIVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231059",
            "telephone_number": "858-576-9960",
            "fax_number": "858-576-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 CHESAPEAKE DRIVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231059",
            "telephone_number": "858-576-9960",
            "fax_number": "858-576-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-576-9960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical Network
• Pacific Medical/Bay Recovery
• Pacific Mindscape Medical Group
• Pacific Neurobehavioral Clinic: a Psychological Corporation
• Pacific Neurology AMC
• Pacific Pathology, Inc.
• Pacific Podiatry Consultants Inc
• Pacific Point HCS, Inc.
• Pacific Point Health Care Services Inc
• Pacific Point Health Care Services, Inc.

• 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 May 4, 2015; 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.