ALTA ANATOMIC PATHOLOGY MEDICAL GROUP – NPI #1720057367
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.

ALTA ANATOMIC PATHOLOGY MEDICAL GROUP is a pathologist located in BERKELEY, CA. NPPES has assigned the NPI number 1720057367 to ALTA ANATOMIC PATHOLOGY MEDICAL GROUP on March 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Sep 11, 2025. 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 ALTA ANATOMIC PATHOLOGY MEDICAL GROUP below.

NPI Profile for
ALTA ANATOMIC PATHOLOGY MEDICAL GROUP

NPI Number
1720057367
Enumeration Date

(more than 20 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
ALTA ANATOMIC PATHOLOGY MEDICAL GROUP
Primary location
2450 ASHBY AVE
BERKELEY, CA 94705-2067
Phone: (510) 204-1642 Fax:
Mailing address
PO BOX 10076
VAN NUYS, CA 91410-0076
Phone: (805) 578-8300 Fax: (805) 578-8950
Organization Subpart
No
Authorized Official
JEROME BURKE
PRESIDENT
Phone: (510) 204-1642
Updated
Identifiers

Identifiers for ALTA ANATOMIC PATHOLOGY MEDICAL GROUP

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
otherDHS MEDI-CALCAGR0022700
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)
207ZC0500X
- Pathology / Cytopathology

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.