Organization Active NPI

Applied Proteomics, Inc.

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1427428069
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2074504 Issued in CA
Legal business name
APPLIED PROTEOMICS, INC.
Practice address
3545 John Hopkins CT
Suite 150
San Diego, CA 92121-1112
Phone
(858) 999-2800
Fax
(858) 202-6176
NPI assigned
Sep 25, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Mr. Jeff Black
Title
Chief Financial Officer
Phone
(858) 999-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2074504 CA Primary

Addresses

Primary practice location

3545 John Hopkins CT
Suite 150
San Diego, CA 92121-1112

Mailing address

3545 John Hopkins CT
Suite 150
San Diego, CA 92121-1112
Phone (858) 999-2800

Other identifiers 1

IdentifierTypeStateIssuer
CLF 00345493OtherCACA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

3545 John Hopkins Ct
Ste 1
San Diego, CA 92121
Phone (858) 999-2800

3545 John Hopkins Ct
Ste 150
San Diego, CA 92121
Phone (858) 999-2776

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1427428069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 JOHN HOPKINS CT",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211112",
            "telephone_number": "858-999-2800",
            "fax_number": "858-202-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 JOHN HOPKINS CT",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211112",
            "telephone_number": "858-999-2800",
            "fax_number": "858-202-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PROTEOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-999-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2074504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "CLF 00345493",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.