MEDICARE: DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0006X	Clinical Pathology Physician
2	207ZN0500X	Neuropathology Physician
3	291U00000X	Clinical Medical Laboratory
4	207ZD0900X	Dermatopathology (Pathology) Physician
5	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	05D0644168	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS7233	OTHER	CA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235138868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	3301 C ST
Second Line	:	#200E
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3300
Country	:	US
Telephone Number	:	916-447-6267
Fax Number	:	916-447-0621

Provider Business Practice Location Address
First Line	:	3301 C ST
Second Line	:	#200E
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3300
Country	:	US
Telephone Number	:	916-447-6267
Fax Number	:	916-447-0621

Authorized Official
Title or Position	:	C.E.O.
Name	:	MR. MICHAEL J FINN
Credential	:
Telephone Number	:	916-447-6267

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	11/17/2025

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