PENINSULA PATHOLOGISTS MEDICAL GROUP NPI 1063662211

NPI Information

  • NPI: 1063662211
  • Provider Name: PENINSULA PATHOLOGISTS MEDICAL GROUP
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 393 E GRAND AVE
    SUITE I
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Phone: (650) 616-2955

Map and Directions

Get Directions

NPI Details

PENINSULA PATHOLOGISTS MEDICAL GROUP is a clinical medical laboratory in South San Francisco, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PENINSULA PATHOLOGISTS MEDICAL GROUP NPI is 1063662211. The provider is registered as an organization entity type.

The provider's business location address is:

393 E GRAND AVE
SUITE I
SOUTH SAN FRANCISCO, CA
ZIP 94080-233
Phone: (650) 616-2955
Fax: (650) 246-3623

The provider's authorized official is Judy Alonzo .
The authorized official title is President and has the following contact phone number (650) 616-2955.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Flow cytometry technique for dna or cell analysis, each additional marker (HCPCS:88185)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Flow cytometry technique for dna or cell analysis, first marker (HCPCS:88184)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)

The enumeration date for this NPI number is 9/24/2008 and was last updated on 9/24/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryCLF331997CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.