Organization Active NPI

Genetic Foresight

  • Genetics Clinic/Center
  • Berkeley, CA
National Provider Identifier
1346763711
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.