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NPI 1255967063ActiveOrganization· Pathology, Neuropathology· Apple Valley, CA
Pathology, Neuropathology in Apple Valley, California, registered in NPPES in March 2020. The authorized official on file is Regina J. Peacock, LCSW, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255967063 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2020 |
| Last updated in NPPES | Feb 16, 2022 |
| Certified by provider | Feb 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Neuropathology Primary | 207ZN0500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|