# YOSEMITE PATHOLOGY MEDICAL GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598760985
- **Authorized official:** JENNIFER PINASCO (DELEGATED OFFICIAL)
- **Authorized official phone:** (209) 577-1200

## Contact information

- **Practice address:** 4301 N STAR WAY, MODESTO, CA 95356-9262
- **Practice address phone:** (209) 577-1200
- **Practice address fax:** (209) 577-6517
- **Mailing address:** PO BOX 576768, MODESTO, CA 95357-6768
- **Mailing address phone:** (209) 577-1200
- **Mailing address fax:** (209) 577-6517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | C32684 | CA | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | C32684 | CA | — |
| 207ZF0201X | Forensic Pathology Physician | C32684 | CA | — |
| 207ZI0100X | Immunopathology Physician | C32684 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | C32684 | CA | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 09/09/2024