Worksite Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WORKSITE LABS, INC.

Practice address

1890 E Miraloma Ave Ste D
Placentia, CA 92870-6746

Phone

(833) 747-1122

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gary Frazier

Title

Ceo

Phone

(661) 599-9150

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Aleph Lab, LLC

  • Clinical Medical Laboratory
  • Walnut Creek, CA
  • NPI 1861138273

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Aleph Lab, LLC

  • Clinical Medical Laboratory
  • Walnut Creek, CA
  • NPI 1861138273
  NPPES parent name

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1467030536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PINE AVE STE 370",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024718",
            "telephone_number": "661-599-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E MIRALOMA AVE STE D",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706746",
            "telephone_number": "833-747-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Del Paso Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958349664",
            "country_code": "US",
            "telephone_number": "833-747-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4133 Donald Douglas Drive",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "833-747-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 Loomis Street",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94124",
            "country_code": "US",
            "telephone_number": "657-444-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6695 Green Valley Cir",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902307024",
            "country_code": "US",
            "telephone_number": "833-747-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Main St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891012910",
            "country_code": "US",
            "telephone_number": "657-444-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 S 48th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850401713",
            "country_code": "US",
            "telephone_number": "833-747-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Industry Dr",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981883411",
            "country_code": "US",
            "telephone_number": "657-444-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2470 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951101240",
            "country_code": "US",
            "telephone_number": "657-444-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3298 Kettner Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011122",
            "country_code": "US",
            "telephone_number": "657-444-9146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WORKSITE LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-599-9150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "CLF-90002704",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05D2196230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05D2210010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH CLIA",
            "identifier": "50D2201374",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "CLF-90001796",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "CLF-90002641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Placentia, CA
• Providers in Placentia, 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 Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.