CMS-1500 Box 24J / 33a • NPI
1124954367
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207ZP0102X (CMS 22)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology
Box 32 Service Location & ZIP+4
1322 WHITE OAKS RD, CAMPBELL, CA, 95008-6723
✓ 9-Digit EDI 837 ZIP+4 (95008-6723)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124954367 (ADVANCED INNOVATIVE PATHOLOGY DIAGNOSTICS, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124954367 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED INNOVATIVE PATHOLOGY DIAGNOSTICS, PC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: 207ZP0102X (Pathology, Anatomic Pathology & Clinical Pathology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1322 WHITE OAKS RD, CAMPBELL, CA, 95008-6723 |
| Practice Telephone / Fax | Tel: (408) 628-4280 | Fax: (408) 628-4283 |
| Administrative Mailing Address | 1322 WHITE OAKS RD, CAMPBELL, CA, 95008-6723 |
| Enumeration & Last Sync | Enumerated: 2026-06-23 | CMS Record Updated: 2026-06-23 |
| Authorized Official | DOROTHY WONG (Partner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)
What Does Taxonomy Code 207ZP0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED INNOVATIVE PATHOLOGY DIAGNOSTICS, PC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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