Active NPI
Carly Kenyon, MS, LCGC
- Genetic Counselor (M.S.)
- San Francisco, CA
National Provider Identifier
1144602491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC00596
- Practice address
- 3700 California St RM 4360
San Francisco, CA 94118-1618 - Phone
- (415) 600-6400
- NPI assigned
- Jun 23, 2015
- Last updated
- Jun 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GC00596 | CA | Primary |
Addresses
Primary practice location
3700 California St RM 4360
San Francisco, CA 94118-1618
Mailing address
1559 Pershing Dr Apt C
San Francisco, CA 94129-1232
Phone (925) 984-3279
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GC00596 | CA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| UCSF Medical Group Business Services | Past | Accepting new patients | |
| California Pacific Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Genetics Clinic/Center
- San Francisco, CA
- NPI 1831352012
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Medical Center Adult Chronic Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1144602491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 PERSHING DR APT C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941291232",
"telephone_number": "925-984-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 CALIFORNIA ST RM 4360",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181618",
"telephone_number": "415-600-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "CARLY",
"credential": "MS, LCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "CA",
"license": "GC00596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Royen Kent, MS, CCC-SLP
- Kentfield and San Francisco Specialty Hospital Inc (Kentfield Hospital San Francisco)
- Molly Frances Kenward, FNP-BC
- Barclay Kenyon
- Brian Joseph Kenyon, D.M.D.
- Kristina Kenyon, LMFT
- Zona Keo, ASW
- Keough Applied Behavior Analysis and Management, LLC
- Tanya C Keough
- Kamtha Keow, M.F.T.I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.