Active NPI
Helio Azevedo Costa, PH.D.
- Clinical Molecular Genetics Physician
- Palo Alto, CA
National Provider Identifier
1073054722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- MTP-02011990
- Practice address
- 3375 Hillview Ave RM 2201
Palo Alto, CA 94304-1204 - Phone
- (209) 581-1997
- NPI assigned
- Mar 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | TRL01011727 | CA | |
| Clinical Molecular Genetics Physician | 207SG0203X | MTP-02011990 | CA | Primary |
Addresses
Primary practice location
3375 Hillview Ave RM 2201
Palo Alto, CA 94304-1204
Mailing address
1300 Arguello St Apt 8
Redwood City, CA 94063-1267
Phone (209) 581-1997
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTP-02011990 | CA | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1073054722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 ARGUELLO ST APT 8",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631267",
"telephone_number": "209-581-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 HILLVIEW AVE RM 2201",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041204",
"telephone_number": "209-581-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "HELIO",
"middle_name": "AZEVEDO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-14",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "CA",
"license": "TRL01011727",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "CA",
"license": "MTP-02011990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.