NPIMap

Individual provider Active NPI

Maria Mercedes Patino, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • San Francisco, CA
National Provider Identifier
1639138399
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
A72514 Issued in CA
Practice address
3700 California St
San Francisco, CA 94118
Phone
(415) 600-2200
Fax
(415) 750-5001
NPI assigned
Mar 21, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X A72514 CA Primary

Addresses

Primary practice location

3700 California St
San Francisco, CA 94118

Mailing address

PO Box 26060
Fresno, CA 93729
Phone (415) 600-2200

Other identifiers 1

IdentifierTypeStateIssuer
00A725140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000809 CA Practitioner - PathologyPractitioner - Diagnostic Radiology 2668526294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5110 E Clinton Way
Fresno, CA 93727-2040

8401 Jack Finney Blvd
Greenville, TX 75402-3017

PO Box
Fresno, CA 93729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72514CAMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Pathology Medical Group CurrentSince Dec 1, 2013 Accepting new patients
California Pacific Pathology Medical Group Clinical Pathology/Laboratory Medicine Current Accepting new patients
California Pacific Pathology Medical Group Clinical Pathology/Laboratory Medicine CurrentSince Dec 1, 2013 Accepting new patients
California Pacific Pathology Medical Group Clinical Pathology/Laboratory Medicine Current Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

3700 California St
San Francisco, CA 94118
Phone (415) 719-0000

601 Duboce Ave
San Francisco, CA 94117
Phone (415) 600-0600

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

Interoperability endpoints

  • Direct secure messaging: mpatino127017@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1639138399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26060",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93729",
            "telephone_number": "415-600-2200",
            "fax_number": "415-750-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-600-2200",
            "fax_number": "415-750-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "A72514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A725140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.