Active NPI
Genetic Foresight
- Genetics Clinic/Center
- Berkeley, CA
National Provider Identifier
1346763711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetics Clinic/Center
- Legal business name
- GENETIC FORESIGHT
- Practice address
- 2150 Shattuck Ave PH Genetic
Berkeley, CA 94704-1370 - Phone
- (408) 857-9016
- NPI assigned
- Jul 18, 2017
- Last updated
- Jul 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Milford
- Title
- Co-Founder
- Phone
- (408) 857-9016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetics Clinic/Center | 261QG0250X | CA | Primary |
Addresses
Primary practice location
2150 Shattuck Ave PH Genetic
Berkeley, CA 94704-1370
Mailing address
41 Manzanita Ave
Los Gatos, CA 95030-5802
Phone (408) 857-9016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500336000000",
"number": "1346763711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MANZANITA AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950305802",
"telephone_number": "408-857-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 SHATTUCK AVE PH GENETIC",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041370",
"telephone_number": "408-857-9016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENETIC FORESIGHT",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A",
"authorized_official_last_name": "MILFORD",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "408-857-9016",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QG0250X",
"taxonomy_group": "",
"desc": "Clinic/Center, Genetics",
"state": "CA",
"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 Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.