PATHOLOGY MEDICAL GROUP OF RIVERSIDE – NPI #1417016833
Pathology

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.

PATHOLOGY MEDICAL GROUP OF RIVERSIDE is a pathologist located in RIVERSIDE, CA. NPPES has assigned the NPI number 1417016833 to PATHOLOGY MEDICAL GROUP OF RIVERSIDE on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 7 years ago on Nov 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATHOLOGY MEDICAL GROUP OF RIVERSIDE below.

NPI Profile for
PATHOLOGY MEDICAL GROUP OF RIVERSIDE

NPI Number
1417016833
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PATHOLOGY MEDICAL GROUP OF RIVERSIDE
Primary location
4445 MAGNOLIA AVE
RIVERSIDE COMMUNITY HOSPITAL
RIVERSIDE, CA 92501
Phone: (951) 788-3243 Fax: (951) 788-3633
Mailing address
PO BOX 260071
SAINT LOUIS, MO 63126-8071
Phone: (314) 849-3535 Fax: (844) 410-3800
Organization Subpart
No
Authorized Official
DARREN OKADA
OWNER - MEDICAL DIRECTOR
Phone: (951) 788-3243
Updated
Identifiers

Identifiers for PATHOLOGY MEDICAL GROUP OF RIVERSIDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0087630
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.