Active NPI
Orange County Pathology Medical Group, Inc
- Anatomic Pathology & Clinical Pathology Physician
- Orange, CA
National Provider Identifier
1609945575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC
- Practice address
- 805 W la Veta Ave Ste 104
Orange, CA 92868-3928 - Phone
- (714) 288-4044
- Fax
- (714) 288-4042
- NPI assigned
- Nov 7, 2006
- 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
- Aaron Franklin Sassoon, PH.D., M.D.
- Title
- President/Pathologist
- Phone
- (714) 288-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
805 W la Veta Ave Ste 104
Orange, CA 92868-3928
Mailing address
805 W la Veta Ave Ste 104
Orange, CA 92868-3928
Phone (714) 288-4044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0015551 | Medicaid | CA | |
| 05D0579177 | Other | CA | CLIA |
| GR0015550 | Medicaid | CA |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Orange, CA
- NPI 1407938996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1609945575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W LA VETA AVE STE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683928",
"telephone_number": "714-288-4044",
"fax_number": "714-288-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W LA VETA AVE STE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683928",
"telephone_number": "714-288-4044",
"fax_number": "714-288-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2022-10-06",
"certification_date": "2021-04-09",
"status": "A",
"authorized_official_last_name": "SASSOON",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "PRESIDENT/PATHOLOGIST",
"authorized_official_telephone_number": "714-288-4044",
"authorized_official_credential": "PH.D., 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": "GR0015551",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0579177",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0015550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
- Orange County Counseling Center
- Orange County Health Authority
- Orange County Health Care Agency
- Orange County Heart Institute and Research Center a Medical Group
- Orange County Pathology Medical Group, Inc
- Orange County Pediatric Cardiology Medical Group
- Orange County Pediatric Urology Associates, PC
- Orange County Robotic General Surgery Inc
- Orange County Spinal Imaging Inc
- Orange County Thoracic and Cardiovascular Surgeons a Med Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.