Provider Demographics
NPI:1063518033
Name:CALPATH MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:CALPATH MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOKENESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-866-5227
Mailing Address - Street 1:100 ALBRIGHT WAY STE C
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1837
Mailing Address - Country:US
Mailing Address - Phone:408-866-5227
Mailing Address - Fax:408-866-5228
Practice Address - Street 1:2155 S BASCOM AVE STE 120
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3200
Practice Address - Country:US
Practice Address - Phone:408-866-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB58234GMedicaid
CALAB58234GMedicaid