Organization Active NPI

Pacific Rim Pathology Medical Corporation

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1457449365
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PACIFIC RIM PATHOLOGY MEDICAL CORPORATION
Practice address
5325 Metro St Ste a
San Diego, CA 92110-2608
Phone
(858) 939-3660
Fax
(619) 502-3573
NPI assigned
Oct 10, 2006
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
James Carry, M.D.
Title
President
Phone
(858) 939-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5325 Metro St Ste a
San Diego, CA 92110-2608

Mailing address

File 1440
Pasadena, CA 91199-1440
Phone (858) 939-3660

Other identifiers 1

IdentifierTypeStateIssuer
LAB85442FMedicaidCA

National Provider Directory

National Provider Directory

Locations

5325 Metro St
Ste A
San Diego, CA 92110
Phone (619) 295-0964

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1457449365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 1440",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991440",
            "telephone_number": "858-939-3660",
            "fax_number": "619-502-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 METRO ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102608",
            "telephone_number": "858-939-3660",
            "fax_number": "619-502-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM PATHOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "858-939-3660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB85442F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • 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.