NPIMap

Organization Active NPI

Kaiser Permanente

  • Genetic Counselor (M.S.)
  • Oakland, CA
National Provider Identifier
1366825754
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000653 Issued in CA
Legal business name
KAISER PERMANENTE
Practice address
3505 Broadway
Mosswood Building, 10TH Floor
Oakland, CA 94611-5714
Phone
(510) 752-6396
NPI assigned
Jul 2, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Robbie F Fox, MS, CGC
Title
Genetics Clinical Services Manager
Phone
(510) 752-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193200000X MULTI-SPECIALTY GROUP 170300000X GC000653 CA Primary

Addresses

Primary practice location

3505 Broadway
Mosswood Building, 10TH Floor
Oakland, CA 94611-5714

Mailing address

3505 Broadway
Mosswood Building, 10TH Floor
Oakland, CA 94611-5714

National Provider Directory

National Provider Directory
Tax ID family
The Perm Med GRP Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

3505 Broadway
Bldg 10TH
Oakland, CA 94611
Phone (510) 752-6396

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1366825754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY",
            "address_2": "MOSSWOOD BUILDING, 10TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY",
            "address_2": "MOSSWOOD BUILDING, 10TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115714",
            "telephone_number": "510-752-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENETICS CLINICAL SERVICES MANAGER",
        "authorized_official_telephone_number": "510-752-6396",
        "authorized_official_credential": "MS, CGC"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.