Stockton Pathology Medical Group
NPI 1205213196 · Clinical Medical Laboratory · Stockton, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stockton Pathology Medical Group is a Clinical Medical Laboratory organization in Stockton, CA (NPI 1205213196).
Provider details
- NPI number
- 1205213196
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jeffrey Mcdavit, Authorized Official(209) 943-2000
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Stockton Pathology Medical Group Laboratory
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2015-04-30
Frequently asked questions
- What is Stockton Pathology Medical Group's NPI number?
- Stockton Pathology Medical Group's National Provider Identifier (NPI) is 1205213196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stockton Pathology Medical Group?
- Stockton Pathology Medical Group is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Stockton Pathology Medical Group located?
- Stockton Pathology Medical Group's practice location on file with NPPES is 2131 N California St, Stockton, CA 95204-6030.
- What is Stockton Pathology Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Stockton Pathology Medical Group is (209) 465-6221.
- Does Stockton Pathology Medical Group accept Medicare?
- Stockton Pathology Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stockton Pathology Medical Group?
- The authorized official listed on Stockton Pathology Medical Group's NPPES record is Jeffrey Mcdavit, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stockton Pathology Medical Group's NPI active?
- Yes — Stockton Pathology Medical Group's NPI (1205213196) is active in the NPPES registry as of the last update on 2015-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.