Palo Alto Pathology, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

206746 Issued in CA

Legal business name

PALO ALTO PATHOLOGY, INC

Practice address

2325 El Camino Real
Palo Alto, CA 94306-1620

Phone

(650) 617-1849

Fax

(650) 327-2234

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Hadler, MDNPI 1093884447

Title

President, Ceo

Phone

(650) 617-1849

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kenneth Hadler, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Palo Alto, CA
  • NPI 1093884447
  Medicare reassignment NPD Authorized official
• Ayce Dikmen Unal, M.D.,PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Palo Alto, CA
  • NPI 1508804980
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1568509727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 EL CAMINO REAL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061620",
            "telephone_number": "650-617-1849",
            "fax_number": "650-327-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 EL CAMINO REAL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061620",
            "telephone_number": "650-617-1849",
            "fax_number": "650-327-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO ALTO PATHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HADLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "650-617-1849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "206746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ03522Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palo Alto Medical Foundation
• Palo Alto Medical Foundation
• Palo Alto Mind Body
• Palo Alto Nephrology Associates
• Palo Alto Oral & Maxillofacial Surgery
• Palo Alto Perfusion Service
• Palo Alto Psychology Technologies Inc
• Palo Alto Smart Therapy
• Palo Alto Surgery Center
• Palo Alto Therapy a Licensed Clinical Social Worker Corporation

• Clinical Medical Laboratory in Palo Alto, CA
• Providers in Palo Alto, 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 Oct 16, 2007; 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.