AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. – NPI #1730119553
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.

AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. is a pathologist located in RANCHO DOMINGUEZ, CA. NPPES has assigned the NPI number 1730119553 to AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. on July 04, 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 last updated on Mar 14, 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 AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. below.

NPI Profile for
AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.

NPI Number
1730119553
Enumeration Date

(about 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
AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
Primary location
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 90220-6318
Phone: (310) 225-3221 Fax: (310) 698-7040
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STANETTE KENNEBREW
ADMINISTRATOR
Phone: (310) 225-3221
Updated
Certification Date
Mar 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.

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.

See identifiers
DescriptionIssuerStateIdentifier
medicaidCAGR0023280
medicaidCAGR0054410
medicaidCAGR0082250
medicaidCAGR0076820
medicaidCAGR0085333
medicaidCAGR0017680
medicaidCAGR0055010
medicaidCAGR0085330
medicaidCAGR0085336
medicaidCAGR0085337
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.