NPI Code Detail JSON Logo

1497705537 NPI number — PATHOLOGY SCIENCES MEDICAL GROUP

NPI Number: 1497705537
Health Care Provider/Practitioner: PATHOLOGY SCIENCES MEDICAL GROUP

Information about “1497705537” NPI (PATHOLOGY SCIENCES MEDICAL GROUP) exists in 1497705537 in HTML format HTML  |  1497705537 in plain Text format TXT  |  1497705537 in PDF (Portable Document Format) PDF  |  1497705537 in an XML format XML  formats.

NPI Number : 1497705537 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497705537",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PATHOLOGY SCIENCES MEDICAL GROUP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "183 E 8TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95926-2341",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-891-6244",
    "MailingAddressFaxNumber": "530-891-0134",
    "FirstLinePracticeLocationAddress": "183 E 8TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95926-2341",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-891-6244",
    "PracticeLocationAddressFaxNumber": "530-891-0134",
    "EnumerationDate": "05/11/2006",
    "LastUpdateDate": "04/16/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WONG",
    "AuthorizedOfficialFirstName": "LESTER",
    "AuthorizedOfficialMiddleName": "K",
    "AuthorizedOfficialTitle": "MANAGING PARTNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "530-891-6244",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207ZC0500X",
          "TaxonomyName": "Cytopathology Physician",
          "LicenseNumber": "CLF10112",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ZP0102X",
          "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
          "LicenseNumber": "CLF10112",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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