Personalis, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00343226 Issued in CA

Legal business name

PERSONALIS, INC.

Practice address

6600 Dumbarton Cir
Fremont, CA 94555-3615

Phone

(650) 752-1300

Fax

(650) 752-1301

NPI assigned

Mar 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Hall

Title

Ceo

Phone

(650) 752-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Personalis Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Personalis, Inc.

  • Clinical Medical Laboratory
  • Menlo Park, CA
  • NPI 1871998096
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gemma Louise Chandratillake, MPHIL PH.D. M.S. CGC

  • Genetic Counselor (M.S.)
  • Menlo Park, CA
  • NPI 1487925186
  NPD (past)
• Erin Elizabeth Houghton, MS, CGC

  • Genetic Counselor (M.S.)
  • Menlo Park, CA
  • NPI 1366413585
  NPD (past)
• Massimo Morra, MD, PHD, FACMG

  • Clinical Medical Laboratory
  • Menlo Park, CA
  • NPI 1447557251
  NPD (past)
• Jean Tirch

  • Genetic Counselor (M.S.)
  • Menlo Park, CA
  • NPI 1356685846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1003232158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 DUMBARTON CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553615",
            "telephone_number": "650-752-1300",
            "fax_number": "650-752-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 DUMBARTON CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553615",
            "telephone_number": "650-752-1300",
            "fax_number": "650-752-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-752-1300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00343226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLA",
            "identifier": "05D2053444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea R Perry
• Cristina Perry
• Lamia Perry
• Makalah Perry
• Savannah Rose Perry
• Personalized Home Health Services
• Peter K. Le, D.D.S., Inc.
• Peter K. Le,DDS,Inc.
• Sarah Peters
• Dominique Peterson, PA-C

• Clinical Medical Laboratory in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.