Nkgen Biotech, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CDF00341215 Issued in CA

Legal business name

NKGEN BIOTECH, INC.

Practice address

3001 Daimler St
Santa Ana, CA 92705-5812

Phone

(949) 396-6830

Fax

(949) 396-6831

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Chen

Title

Chief Executive Officer

Phone

(949) 396-6830

Specialties & licenses 1

Addresses

Other names 1

• NKMax America, Inc. Former legal business name

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

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1265915029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DAIMLER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055812",
            "telephone_number": "949-396-6830",
            "fax_number": "949-396-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DAIMLER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055812",
            "telephone_number": "949-396-6830",
            "fax_number": "949-396-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Pasteur, Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183824",
            "country_code": "US",
            "telephone_number": "949-396-6830",
            "fax_number": "949-396-6831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NKGEN BIOTECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-396-6830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CDF00341215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NKMax America, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carolyn Cater Nishimoto, LCSW
• Takako Nishimoto, MPT
• Karen Nishiyama
• Thomas S. Nitta, RN
• Hsin-Tzu Niu
• Gift Nleko
• Elizabeth Nobis
• Caridad Nodarse
• Noel E Johanson MD Inc
• Nogales Psychological Counseling, Inc.

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, 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 28, 2021; 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.