Medgomics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDGOMICS INC.

Practice address

22 Moonridge CT
Azusa, CA 91702-6279

Phone

(626) 404-6938

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Steve Sommer, M.D., PHD

Title

President, Medical Director

Phone

(626) 433-3795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1346785540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MOONRIDGE CT",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026279",
            "telephone_number": "626-404-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOONRIDGE CT",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026279",
            "telephone_number": "626-404-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGOMICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-433-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinley Children'S Center, Inc.
• McKinley Children'S Center, Inc.
• McKinley Children'S Center, Inc.
• Rodney Gray McNeill
• Catherine Wilde McPhee, FNP
• Leslie Medlin
• Medomics, LLC
• Amanda Mendoza
• Christina Mendoza
• Yesenia Mendoza

• Clinical Medical Laboratory in Azusa, CA
• Providers in Azusa, 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 Dec 23, 2016; 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.