Gemma Louise Chandratillake, MPHIL PH.D. M.S. CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1350 Willow Rd
Suite 202
Menlo Park, CA 94025-1540

Phone

(650) 752-1300

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gemma Louise Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personalis, Inc.

  • Clinical Medical Laboratory
  • Fremont, CA
  • NPI 1003232158
  NPD (past)
• Personalis, Inc.

  • Clinical Medical Laboratory
  • Menlo Park, CA
  • NPI 1871998096
  NPD (past)

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377388800000",
    "number": "1487925186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WILLOW RD",
            "address_2": "SUITE 202",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251540",
            "telephone_number": "650-752-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WILLOW RD",
            "address_2": "SUITE 202",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251540",
            "telephone_number": "650-752-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRATILLAKE",
        "first_name": "GEMMA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MPHIL PH.D. M.S. CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2013-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH GENETIC DISEASE SCREENING PROGRAM",
            "identifier": "GC000379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "BROWN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary F Chan, MD
• Sarah Chan, CGC
• Taylor Nicole Chan
• Vivian Chan, MS, NP
• Anuja Chandrana
• Ann Chang
• Bao Chang, M.D.
• Jacquelyn Chang, M.D.
• Yu-Wen Chang, DO
• Nidhi Sunil Chaudhry, M.D

• Genetic Counselor (M.S.) in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.