Individual provider Active NPI

Judith Ann Doyle, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Francisco, CA
National Provider Identifier
1891915252
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A86529 Issued in CA
Practice address
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone
(415) 600-2200
Fax
(415) 750-5001
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A86529 CA Primary

Addresses

Primary practice location

1101 Van Ness Ave
San Francisco, CA 94109-6919

Mailing address

PO Box 26060
Fresno, CA 93729-6060
Phone (559) 455-4000

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Other practice location 2

2200 Harrison Ave
Eureka, CA 95501-3215
Phone (707) 445-8121

Other practice location 3

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Other practice location 4

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4030

Other identifiers 1

IdentifierTypeStateIssuer
00A865290MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000748 CA Practitioner - Pathology 2163520263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1615 Hill Rd
Suite B
Novato, CA 94947-4338

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

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
59.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86529CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jan 4, 2023 Accepting new patients
California Pacific Pathology Medical Group Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jan 4, 2023 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

2200 Harrison Ave
Eureka, CA 95501
Phone (707) 269-9550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

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

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

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Interoperability endpoints

  • Direct secure messaging: jdoyle127049@hisp.ehr.sutterhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1891915252",
    "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": "937296060",
            "telephone_number": "559-455-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-2200",
            "fax_number": "415-750-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013215",
            "country_code": "US",
            "telephone_number": "707-445-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-445-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Mark West Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031436",
            "country_code": "US",
            "telephone_number": "707-576-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A86529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A865290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.