Organization Active NPI

Stephen Pinsk, M.D., Inc.

  • Clinical Medical Laboratory
  • Santa Rosa, CA
National Provider Identifier
1992857718
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF382 Issued in CA
Legal business name
STEPHEN PINSK, M.D., INC.
Doing business as
Pathology Services
Practice address
2449 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone
(707) 829-5883
Fax
(707) 829-5895
NPI assigned
Jan 18, 2007
Organization subpart
Yes
Parent organization
STEPHEN PINSK, M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mr. Steve C. Mertens, M.D.
Title
President
Phone
(707) 829-5883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF382 CA Primary

Addresses

Primary practice location

2449 Summerfield Rd
Santa Rosa, CA 95405-7815

Mailing address

PO Box 1676
Sebastopol, CA 95473-1676
Phone (707) 829-5883

Other identifiers 1

IdentifierTypeStateIssuer
GR0103110MedicaidCA

Other names 1

  • Pathology Services Doing business as

National Provider Directory

National Provider Directory
Part of
Palm Drive Hospital

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1992857718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731676",
            "telephone_number": "707-829-5883",
            "fax_number": "707-829-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 SUMMERFIELD RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057815",
            "telephone_number": "707-829-5883",
            "fax_number": "707-829-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PINSK, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN PINSK, M.D., INC.",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MERTENS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-829-5883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.