NPIMap

Organization Active NPI

Pathology Sciences Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Chico, CA
National Provider Identifier
1497705537
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
CLF10112 Issued in CA
Legal business name
PATHOLOGY SCIENCES MEDICAL GROUP
Practice address
183 E 8TH Ave
Chico, CA 95926-2341
Phone
(530) 891-6244
Fax
(530) 891-0134
NPI assigned
May 11, 2006
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Lester K Wong, M.D.NPI 1932159431
Title
Managing Partner
Phone
(530) 891-6244

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X CLF10112 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X CLF10112 CA Primary

Addresses

Primary practice location

183 E 8TH Ave
Chico, CA 95926-2341

Mailing address

183 E 8TH Ave
Chico, CA 95926-2341
Phone (530) 891-6244

Other identifiers 2

IdentifierTypeStateIssuer
05D0883963OtherCLIA LICENSE
LAB83963FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000753 CA Part B Supplier - Clinic/Group Practice 5193750164 Receives reassigned benefits from 10 practitioners
Practice locations: Chico, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0883963Pathology Sciences Medical Group183 E 8TH Ave, Chico, CA 95926AccreditationNov 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1497705537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244",
            "fax_number": "530-891-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244",
            "fax_number": "530-891-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY SCIENCES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "530-891-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "CLF10112",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "CLF10112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "05D0883963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB83963F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.