Western Pathology Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

WESTERN PATHOLOGY INC

Practice address

3440 Empresa Dr
Suite B
San Luis Obispo, CA 93401-7345

Phone

(805) 543-5000

Fax

(805) 543-5199

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Kurt F Lundquist, MD

Title

Authorized Official/President

Phone

(805) 748-6214

Specialties & licenses 1

Addresses

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 3

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

• Ryan Scott Berry, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
  • NPI 1356607444
  Medicare reassignment Care Compare group NPD
• Kurt L Lundquist, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437194131
  Medicare reassignment Care Compare group NPD
• Bruce D Ragsdale, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1225072374

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1780924233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84392",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245692",
            "telephone_number": "805-548-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 EMPRESA DR",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017345",
            "telephone_number": "805-543-5000",
            "fax_number": "805-543-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PRESIDENT",
        "authorized_official_telephone_number": "805-748-6214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Marie Wenzel, LVN
• Megan Munro Werner
• Laura Quaglino Weronski, LMFT
• West Los Angeles Vamc
• Gary Mitchell Westbrock, PA
• Amanda Westman, DO
• Pamela Westphal
• Paul D Wetzel, M.D.
• Laurie A. Weymann, N.P.
• Anthony T Whall, PA-C

• Anatomic Pathology & Clinical Pathology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.