Individual provider Active NPI

Paige Cleek, CGC

  • Genetic Counselor (M.S.)
  • Sacramento, CA
National Provider Identifier
1043928773
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC001677 Issued in CA
Practice address
1111 Exposition Blvd Ste 200
Sacramento, CA 95815-4324
Phone
(916) 736-6888
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GC001677 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd Ste 200
Sacramento, CA 95815-4324

Mailing address

6323 Old Orchard Way
Orangevale, CA 95662-4145
Phone (208) 585-1199

Other identifiers 2

IdentifierTypeStateIssuer
GC001677OtherCADEPARTMENT OF PUBLIC HEALTH
20930OtherAMERICAN BOARD OF GENETIC COUNSELING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GC001677CAMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1043928773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 OLD ORCHARD WAY",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624145",
            "telephone_number": "208-585-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154324",
            "telephone_number": "916-736-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEEK",
        "first_name": "PAIGE",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "GC001677",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF GENETIC COUNSELING",
            "identifier": "20930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.