Fulgent Therapeutics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FULGENT THERAPEUTICS LLC

Doing business as

Fulgent Diagnostics

Practice address

16 Calavera
Irvine, CA 92606-8923

Phone

(201) 673-0083

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Jian Xie

Title

President

Phone

(626) 350-0537

Specialties & licenses 1

Addresses

Other names 1

• Fulgent Diagnostics Doing business as

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

CLIA laboratory certificates

Tax ID family

Fulgent Therapeutics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fulgent Therapeutics, LLC.

  • Clinical Medical Laboratory
  • Castaic, CA
  • NPI 1205798873
  NPD tax ID

Practitioners 1

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

• Amar R Jariwala, MD MSPH

  • Anatomic Pathology & Clinical Pathology Physician
  • Oceanside, CA
  • NPI 1265843403
  NPD (past)

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1265280325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311648",
            "telephone_number": "626-350-0537",
            "fax_number": "626-454-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALAVERA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068923",
            "telephone_number": "201-673-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULGENT THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-350-0537"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulgent Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alondra Fuentes
• Linda Asucena Fuentes
• Ruth Fuentes
• Kenneth Atsuo Fukuda, O.D.
• Kengo Fukunaga
• Full Spectrum Diagnostics
• Fuller Smiles Irvine Inc
• Julie M Fuller, MD
• Michelle Fuller
• Michele Fullmer, MD

• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, 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 May 13, 2024; 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.