Active NPI
William Charles Pitts, MD
- Anatomic Pathology Physician
- Clovis, CA
National Provider Identifier
1639110471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- G51515
- Practice address
- 305 Park Creek Dr
Clovis, CA 93611-4426 - Phone
- (559) 326-2815
- Fax
- (559) 326-2801
- NPI assigned
- Jun 10, 2006
- Last updated
- Dec 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | G51515 | CA | Primary |
Addresses
Primary practice location
305 Park Creek Dr
Clovis, CA 93611-4426
Mailing address
PO Box 2130
Clovis, CA 93613-2130
Phone (559) 326-2815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20022716 | Other | RAILROAD MEDICARE | |
| 00G515150 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51515 | CA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Pathology Laboratory Inc | Current | Accepting new patients | |
| Crawford & Reiber Medical Associates | Past | Accepting new patients |
Locations
305 Park Creek Dr
Clovis, CA 93611
Phone (559) 326-2800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Clovis, CA
- NPI 1699161729
-
- Anatomic Pathology & Clinical Pathology Physician
- Clovis, CA
- NPI 1144277633
-
- Cytopathology Physician
- Hanford, CA
- NPI 1457313702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1639110471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2130",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936132130",
"telephone_number": "559-326-2815",
"fax_number": "559-326-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 PARK CREEK DR",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114426",
"telephone_number": "559-326-2815",
"fax_number": "559-326-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "CA",
"license": "G51515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "20022716",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G515150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.