Organization Active NPI

Anumana

  • Physiological Laboratory
  • San Mateo, CA
National Provider Identifier
1356263784
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ANUMANA
Practice address
1900 S Norfolk St Ste 350
San Mateo, CA 94403-1164
Phone
(844) 268-6262
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Dr. Simeon Kedikoglou, MD
Title
President & Chief Operating Officer
Phone
(844) 268-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

1900 S Norfolk St Ste 350
San Mateo, CA 94403-1164

Mailing address

1 Main St Ste 400
Cambridge, MA 02142-1531
Phone (844) 268-6262

National Provider Directory

National Provider Directory

Locations

1 Main St
Ste 400
Cambridge, MA 02142

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1356263784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 400",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421531",
            "telephone_number": "844-268-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 350",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031164",
            "telephone_number": "844-268-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUMANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "KEDIKOGLOU",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "844-268-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.