AFFILIATED PATHOLOGISTS MEDICAL GROUP INC. NPI 1730119553

NPI Information

  • NPI: 1730119553
  • Provider Name: AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • CLIA Number: 05D2006397
  • Address: 20001 S RANCHO WAY
    RANCHO DOMINGUEZ, CA
    ZIP 90220
  • Phone: (310) 225-3221

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NPI Details

AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. is an anatomic pathology and clinical pathology pathology in Rancho Dominguez, 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. AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. NPI is 1730119553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA
ZIP 90220-318
Phone: (310) 225-3221
Fax: (310) 698-7040

The provider's authorized official is Stanette Kennebrew .
The authorized official title is Administrator and has the following contact phone number (310) 225-3221.

The CLIA number assigned to this NPI record is 05D2006397 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 3/14/2025.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0082250MEDICAIDCALIFORNIA
2GR0076820MEDICAIDCALIFORNIA
3GR0023280MEDICAIDCALIFORNIA
4GR0085330MEDICAIDCALIFORNIA
5GR0085337MEDICAIDCALIFORNIA
6GR0017680MEDICAIDCALIFORNIA
7GR0055010MEDICAIDCALIFORNIA
8GR0085336MEDICAIDCALIFORNIA
9GR0085333MEDICAIDCALIFORNIA
10GR0054410MEDICAIDCALIFORNIA

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

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