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YOSEMITE PATHOLOGY MEDICAL GROUP INC NPI 1598760985


NPI Information

NPI: 1598760985
Provider Name: YOSEMITE PATHOLOGY MEDICAL GROUP, INC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
2625 COFFEE RD
STE S
MODESTO, CA
ZIP 95355
Phone: (209) 577-1200
Get Directions

YOSEMITE PATHOLOGY MEDICAL GROUP, INC is an anatomic pathology and clinical pathology pathology in Modesto, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. YOSEMITE PATHOLOGY MEDICAL GROUP, INC NPI is 1598760985. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2625 COFFEE RD
STE S
MODESTO, CA
ZIP 95355-050
Phone: (209) 577-1200
Fax: (209) 577-6517

The provider's authorized official is Robert Colletti .
The authorized official title is Chief Operating Officer and has the following contact phone number (209) 577-1200.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 9/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathologyC32684CALIFORNIANo
2207ZD0900XPathologyDermatopathologyC32684CALIFORNIANo
3207ZF0201XPathologyForensic PathologyC32684CALIFORNIANo
4207ZI0100XPathologyImmunopathologyC32684CALIFORNIANo
5207ZP0102XPathologyAnatomic Pathology & Clinical PathologyC32684CALIFORNIAYes

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
1GR0017748MEDICAIDCALIFORNIA
2GR0017745MEDICAIDCALIFORNIA
3ZZZ17322ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASRMC
4GR0017744MEDICAIDCALIFORNIA
5690005510OTHERCALIFORNIARAILROAD LAB
6CP5083OTHERCALIFORNIARAILROAD MEDICARE
7ZZZ93345ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMHA
8ZZZ25265ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASSH
9ZZZ93348ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAEMC
10ZZZ93347ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAOV
11ZZZ13321ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASA
12ZZZ94361ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADMC
13ZZZ81286ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAYPMG
14ZZZ97403ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMT
15GR0017740MEDICAIDCALIFORNIA
16GR0017741MEDICAIDCALIFORNIA
17ZZZ13320ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASTH
18ZZZ93344ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIATGH
19GR001774AMEDICAIDCALIFORNIA
20GR0017742MEDICAIDCALIFORNIA

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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