Personcogene LLC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Legal business name

PERSONCOGENE LLC

Doing business as

MyOncoPath

Practice address

2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900

Phone

(925) 266-5777

Fax

(925) 300-9512

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Andrie Johanna Klass, MS, LCGCNPI 1306185236

Title

Genetic Counselor

Phone

(650) 796-7556

Specialties & licenses 1

Addresses

Other names 1

• MyOncoPath Doing business as

Practitioners 1

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

• Andrie Klass, MS, CGC

  • Genetic Counselor (M.S.)
  • Walnut Creek, CA
  • NPI 1306185236

  Genetic Counselor, Ms

  NPD (past) Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1063906691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 PISMO CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505245",
            "telephone_number": "650-796-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 BUSKIRK AVE STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976900",
            "telephone_number": "925-266-5777",
            "fax_number": "925-300-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONCOGENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "ANDRIE",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "650-796-7556",
        "authorized_official_credential": "MS, LCGC"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOncoPath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Perotti, MA
• Hilary Ann Perr, M.D.
• Caroline A Perry, MD
• Courtney Elizabeth Perry, PA-C
• Jamee Perry
• Daniel Robert Pestana, D.D.S.
• Peter Chase DDS Ma & Toshi Hart DDS Inc
• Peter Swann MD, Inc
• Aaron Peter
• Daniel B. Peters, PH.D.

• Genetic Counselor (M.S.) in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.