Organization Active NPI

Open Medicine Institute

  • Clinical Medical Laboratory
  • Mountain View, CA
National Provider Identifier
1073978169
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2104143 Issued in CA
Legal business name
OPEN MEDICINE INSTITUTE
Practice address
2500 Hospital Dr
BLDG 2
Mountain View, CA 94040-4106
Phone
(650) 433-8930
Fax
(650) 433-5872
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Andreas Matthias Kogelnik, M.D., PH.D.NPI 1922113331
Title
Ceo
Phone
(650) 433-8930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2104143 CA Primary

Addresses

Primary practice location

2500 Hospital Dr
BLDG 2
Mountain View, CA 94040-4106

Mailing address

2500 Hospital Dr
BLDG 2
Mountain View, CA 94040-4106
Phone (650) 433-8930

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
05D2255958Stanford Medicine Partners OBGYN Mountain View2500 Hospital Dr Ste 4a, Mountain View, CA 94040Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

2500 Hospital Dr
Bldg 2
Mountain View, CA 94040
Phone (650) 433-8925

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1073978169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BLDG 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-433-8930",
            "fax_number": "650-433-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BLDG 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-433-8930",
            "fax_number": "650-433-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KOGELNIK",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-433-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2104143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.