Active NPI
Bay Pathology Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- Antioch, CA
National Provider Identifier
1508825795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- BAY PATHOLOGY MEDICAL GROUP
- Practice address
- 3901 Lone Tree Way
Antioch, CA 94509-6200 - Phone
- (925) 779-7211
- NPI assigned
- Mar 17, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Bruce, MD
- Title
- President
- Phone
- (925) 779-7211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
3901 Lone Tree Way
Antioch, CA 94509-6200
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ57962Z | Other | CA | BLUE SHIELD GROUP ID |
| GR0085480 | Other | CA | DHS GROUP ID |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508825795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096200",
"telephone_number": "925-779-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY PATHOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BRUCE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-779-7211",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP ID",
"identifier": "ZZZ57962Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHS GROUP ID",
"identifier": "GR0085480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
- Amy Sue Batterton, LMFT
- Bruce John Bauer
- Bay Care Group P.C. (First Day Homecare #003)
- Bay Imaging Consultants Medical Group Inc
- Bay Metropolitan Home Health Services LLC
- Christopher P Bayes
- Mary Anne Beach, PH.D.
- Margaret Helen Bear, PA-C
- Joseph Charles Beck, M.D.
- Edith Irene Elizabeth Beckman, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.