Active NPI
Renz Lorenz Gatchalian
- Ph.D. Medical Genetics
- Hayward, CA
National Provider Identifier
1124496690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- Practice address
- 2416 W Tennyson Rd Apt 308
Hayward, CA 94545-4158 - Phone
- (510) 909-4689
- NPI assigned
- Sep 14, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | Primary |
Addresses
Primary practice location
2416 W Tennyson Rd Apt 308
Hayward, CA 94545-4158
Mailing address
2416 W Tennyson Rd Apt 308
Hayward, CA 94545-4158
Phone (510) 909-4689
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91773198E15141 | Other | CA | MEDI CAL |
| 95873198E89104 | Other | CA | MEDI CAL |
| 90718960F02067 | Other | CA | MEDI CAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1124496690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 W TENNYSON RD APT 308",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454158",
"telephone_number": "510-909-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 W TENNYSON RD APT 308",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454158",
"telephone_number": "510-909-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATCHALIAN",
"first_name": "RENZ LORENZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "91773198E15141",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "95873198E89104",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "90718960F02067",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.