DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PARADISE VALLEY PATHOLOGY MEDICAL GROUP

MEDICARE: PARADISE VALLEY PATHOLOGY MEDICAL GROUP
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
1207ZC0500XCytopathology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ01421ZOTHERCABLUE SHIELD GROUP ID

General Provider Information

NPI Number : 1932169265
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARADISE VALLEY PATHOLOGY MEDICAL GROUP
Provider Business Mailing Address
First Line : PO BOX 10076
Second Line :
City : VAN NUYS
State : CA
Zip : 91410-0076
Country : US
Telephone Number : 805-578-8300
Fax Number : 805-578-8950
Provider Business Practice Location Address
First Line : 2400 E 4TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2026
Country : US
Telephone Number : 619-470-4175
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. GILBERT GERSENFISH
Credential : MD
Telephone Number : 619-470-4175
Provider Enumeration Date : 03/23/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1750661641 — STACY KATHRYN AMER-DAVIS N.P.
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 619-470-4321
Practice Fax:
1598756710 — PARADISE VALLEY HOSPITAL
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 619-470-4321
Practice Fax:
1669453932 — PARADISE VALLEY HOSPITAL
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 619-470-4321
Practice Fax:
1063486512 — COLLEEN MARIE STALLMER CRNA
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 619-470-4321
Practice Fax:
1750358768 — QUE ANH CHU MD
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 850-576-4073
Practice Fax: 850-576-6849
1164482477 — PAULINA QUINTANA MD
Practice Location Address:
2400 E 4TH ST
NATIONAL CITY, CA
91950-2026
Practice Phone: 619-470-4175
Practice Fax:

Directions to “PARADISE VALLEY PATHOLOGY MEDICAL GROUP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.