Organization Active NPI

O.N. Diagnostics, LLC

  • Physiological Laboratory
  • Berkeley, CA
National Provider Identifier
1306313648
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
O.N. DIAGNOSTICS, LLC
Practice address
1936 University Ave Ste 280
Berkeley, CA 94704-1071
Phone
(510) 204-0688
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Shui Wong
Title
Chief Operating Officer
Phone
(510) 204-0688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1936 University Ave Ste 280
Berkeley, CA 94704-1071

Mailing address

1936 University Ave Ste 280
Berkeley, CA 94704-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002000039 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335568815 Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

2150 Shattuck Ave
Ste 610
Berkeley, CA 94704
Phone (510) 204-0688

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1306313648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041071",
            "telephone_number": "510-204-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.N. DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHUI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "510-204-0688"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.