Organization Active NPI

Biotheranostics, Inc.

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1043344435
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA 05D1065725 Issued in CA
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

Updated by the provider on May 28, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20080804000662 CA Part B Supplier - Independent Clinical Laboratory 6901977594 Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1065725Biotheranostics Inc6333 Sequence Dr, San Diego, CA 92121AccreditationFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.