Mark H Nishiki, MD | |
1800 N California St, Stockton, CA 95204-6019 | |
(209) 943-2000 | |
Not Available |
Full Name | Mark H Nishiki |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 44 Years |
Location | 1800 N California St, Stockton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457385890 | NPI | - | NPPES |
G56041 | Other | CA | STATE LICENCE |
14573885890 | Medicaid | CA | |
AY850Z | Other | CA | CA MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | G56041 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G56041 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stockton Pathology Medical Group | 8820073455 | 5 |
Entity Name | Stockton Pathology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871522680 PECOS PAC ID: 8820073455 Enrollment ID: O20040618001373 |
Entity Name | California Pathology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582161 PECOS PAC ID: 8325015456 Enrollment ID: O20040916000717 |
Mailing Address | Practice Location Address |
---|---|
Mark H Nishiki, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Mark H Nishiki, MD 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 943-2000 |
Robert D Lawrence, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2291 W March Ln, Suite 179e, Stockton, CA 95207 Phone: 209-477-4432 Fax: 209-320-6136 | |
Yafei Ren, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Stephen G Connolly, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2131 N California St, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Hong Li, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5989 | |
David P Enfield, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Thomas L Yu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 |