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DERMATOLOGY PATHOLOGY MEDICAL GROUP INC NPI 1548456825


NPI Information

NPI: 1548456825
Provider Name: DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC

Doing Business As: AMERICAN WEST SKIN PATHOLOGY CONSULTATION SERVICE

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 05D0617836

Address:
1007 LIVE OAK BLVD
STE A-1
YUBA CITY, CA
ZIP 95991
Phone: (530) 673-3790
Get Directions

DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC is a dermatopathology dermatology in Yuba City, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC NPI is 1548456825. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As American West Skin Pathology Consultation Service.

The provider's business location address is:

1007 LIVE OAK BLVD
STE A-1
YUBA CITY, CA
ZIP 95991-454
Phone: (530) 673-3790
Fax: (530) 673-5642

The provider's authorized official is Leon Melvin Edelstein .
The authorized official title is President and has the following contact phone number (530) 673-3790.

The CLIA number assigned to this NPI record is 05D0617836 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology00A192080CALIFORNIANo
2207N00000XDermatology00A192080CALIFORNIANo
3207NP0225XDermatologyPediatric Dermatology00A192080CALIFORNIANo
4207NS0135XDermatologyProcedural Dermatology00A192080CALIFORNIANo
5207ZD0900XPathologyDermatopathology00A192080CALIFORNIANo
6207ZI0100XPathologyImmunopathology00A192080CALIFORNIANo
7207ZP0102XPathologyAnatomic Pathology & Clinical Pathology00A192080CALIFORNIANo
8207ZP0213XPathologyPediatric Pathology00A192080CALIFORNIANo
9208D00000XGeneral Practice00A192080CALIFORNIANo
10209800000XLegal Medicine00A192080CALIFORNIANo
11207ND0900XDermatologyDermatopathology00A192080CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A21651MEDICARE UPINCALIFORNIA
200A192080MEDICAIDCALIFORNIA
3ZZZ29262ZMEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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