Children'S Pathology Consultants Medical Corp., Inc.

Primary specialty

Pediatric Pathology PhysicianTaxonomy code 207ZP0213X

License

G64565 Issued in CA

Legal business name

CHILDREN'S PATHOLOGY CONSULTANTS MEDICAL CORP., INC.

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3530

Fax

(510) 601-3915

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Jon Rowland, MDNPI 1861417412

Title

Head of Dept

Phone

(510) 428-3162

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jon Michael Rowland, M.D., PHD

  • Pediatric Pathology Physician
  • Oakland, CA
  • NPI 1861417412
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1750417044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 DONALD DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562310",
            "telephone_number": "510-428-3162",
            "fax_number": "510-601-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3530",
            "fax_number": "510-601-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PATHOLOGY CONSULTANTS MEDICAL CORP., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "HEAD OF DEPT",
        "authorized_official_telephone_number": "510-428-3162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Pediatric Pathology",
            "state": "CA",
            "license": "G64565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ROWLAND'S CA MD LICENS",
            "identifier": "G64565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital Oakland
• Children'S Hospital Research Center Oakland
• Children'S Infectious Disease Medical Group, Inc.
• Children'S Neurosurgical Associates, Inc.
• Children'S Orthopaedic Associates Medical Group, Inc.
• Childrens Anesthesia Medical Group Inc
• Childrens Hospital & Research Center at Oakland
• Childrens Hospital & Research Center at Oakland
• Childrens Hospital and Research Center at Oakland
• Roswitha Childress

• Pediatric Pathology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.