Active NPI
Biotheranostics, Inc.
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1043344435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLIA 05D1065725
- Legal business name
- BIOTHERANOSTICS, INC.
- Practice address
- 6333 Sequence Dr
San Diego, CA 92121-4320 - Phone
- (844) 319-8111
- Fax
- (858) 587-5871
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nilesh Dharajiya, MD
- Title
- Medical Director
- Phone
- (858) 587-5885
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 334843 | CA | |
| Clinical Medical Laboratory | 291U00000X | CALIFORNIA CFL334843 | CA | |
| Clinical Medical Laboratory | 291U00000X | CLIA 05D1065725 | CA | Primary |
Addresses
Primary practice location
6333 Sequence Dr
San Diego, CA 92121-4320
Mailing address
PO Box 749249
Los Angeles, CA 90074-9249
Phone (877) 886-6739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080804000662 | CA | Part B Supplier - Independent Clinical Laboratory | 6901977594 | Practice locations: San Diego, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1065725 | Biotheranostics Inc | Accreditation | Feb 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
9640 Towne Centre Dr
Ste 200
San Diego, CA 92121
Phone (858) 587-5885
6333 Sequence Dr
San Diego, CA 92121
Phone (858) 587-5870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1063724920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1043344435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749249",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749249",
"telephone_number": "877-886-6739",
"fax_number": "858-587-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 SEQUENCE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214320",
"telephone_number": "844-319-8111",
"fax_number": "858-587-5871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOTHERANOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "DHARAJIYA",
"authorized_official_first_name": "NILESH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "858-587-5885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "334843",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CALIFORNIA CFL334843",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLIA 05D1065725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.