Active NPI
Valley Pathology Medical Associates Inc
- Anatomic Pathology & Clinical Pathology Physician
- Escondido, CA
National Provider Identifier
1811081797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- VALLEY PATHOLOGY MEDICAL ASSOCIATES INC
- Practice address
- 2185 Citracado Pkwy
Escondido, CA 92029-4159 - Phone
- (442) 281-5000
- Fax
- (419) 866-5453
- NPI assigned
- Oct 3, 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
- Jerry Kolins, M.D.
- Title
- President
- Phone
- (760) 739-3039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | |||
| Cytopathology Physician | 207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
2185 Citracado Pkwy
Escondido, CA 92029-4159
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0052130 | Medicaid | CA | |
| ZZZ32544Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| GR0052131 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Escondido, CA
- NPI 1972690790
Blood Banking & Transfusion Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Escondido, CA
- NPI 1821222852
-
- Anatomic Pathology & Clinical Pathology Physician
- Escondido, CA
- NPI 1821184490
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Escondido, CA
- NPI 1689831869
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1306043195
CA
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Mirage, CA
- NPI 1841436193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1811081797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 CITRACADO PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294159",
"telephone_number": "442-281-5000",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PATHOLOGY MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "KOLINS",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-739-3039",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0052130",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "ZZZ32544Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0052131",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.