Kimberly Anne Wendt, M.S., C.G.C.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

4580 Electronics PL
Scpmg Genetic Testing
Los Angeles, CA 90039-1008

Phone

(818) 502-5959

Fax

(818) 502-5921

NPI assigned

Jan 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1326027285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 ELECTRONICS PL",
            "address_2": "SCPMG GENETIC TESTING",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391008",
            "telephone_number": "818-502-5959",
            "fax_number": "818-502-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 ELECTRONICS PL",
            "address_2": "SCPMG GENETIC TESTING",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391008",
            "telephone_number": "818-502-5959",
            "fax_number": "818-502-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5755 Cottle Rd",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951233640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isadore Wendel, PH.D.
• Shirley Victoria Wendell, N.P.
• Bradley Ray Wenderoth, PHARM.D.
• Michael Seyoum Wendimu
• Aaron Richard Wendt, DPM
• Wendy Gerrish Wellness
• Shelsea Elisaeth Wenell
• Elyse Yihsin Weng, PHARM.D.
• Haoling Weng, MD
• Jerry Weng

• Genetic Counselor (M.S.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.