Organization Active NPI

Salinas Pathology Services Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Salinas, CA
National Provider Identifier
1831152594
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
SALINAS PATHOLOGY SERVICES MEDICAL GROUP INC
Practice address
450 E Romie LN
Salinas, CA 93901-4029
Phone
(831) 758-1223
Fax
(831) 758-0404
NPI assigned
Apr 11, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Andrew J Wilson, M.D.NPI 1770585473
Title
President
Phone
(831) 758-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

450 E Romie LN
Salinas, CA 93901-4029

Mailing address

820 Park Row PMB 688
Salinas, CA 93901
Phone (831) 758-1223

Other identifiers 1

IdentifierTypeStateIssuer
GR0025830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000890 CA Part B Supplier - Clinic/Group Practice 8628025947 Receives reassigned benefits from 5 practitioners
Practice locations: Salinas, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0694261Salinas Pathology Services Medical GRP Inc450 E Romie LN, Salinas, CA 93901ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

820 Park Row
Salinas, CA 93901

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1831152594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PARK ROW PMB 688",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-758-1223",
            "fax_number": "831-758-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014029",
            "telephone_number": "831-758-1223",
            "fax_number": "831-758-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINAS PATHOLOGY SERVICES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-758-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.