Gemini Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GEMINI DIAGNOSTICS INC

Practice address

756 Lakefield Rd
Suite C
Westlake Village, CA 91361

Phone

(805) 496-3838

Fax

(805) 496-7418

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Joel Chan, MDNPI 1538255617

Title

President

Phone

(805) 496-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Joel Anteol Chan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1538255617
  NPD Authorized official
• Christopher Loren Felten, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1689756967
  NPD

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1104127174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 LAKEFIELD RD",
            "address_2": "SUITE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612624",
            "telephone_number": "805-496-3838",
            "fax_number": "805-496-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 LAKEFIELD RD",
            "address_2": "SUITE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-496-3838",
            "fax_number": "805-496-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-496-3838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.