Andrea Lynn Procko, MS, PHD

Primary specialty

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

License

GC000797 Issued in CA

Practice address

4910 Directors PL
San Diego, CA 92121-3811

Phone

(858) 657-7200

NPI assigned

Apr 19, 2017

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 names 1

• Andrea Lynn Geoghegan 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

State licenses

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.

• Regents of the University of California

  • Pharmacy
  • San Diego, CA
  • NPI 1598786576
  NPD (past)
• Regents of the University of California Ucsd Head and Neck Surgery

  • Otolaryngology Physician
  • San Diego, CA
  • NPI 1679509962
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1538693239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CAMPUS POINT DR",
            "address_2": "MAIL CODE #7768",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213811",
            "telephone_number": "858-657-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCKO",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "MS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GEOGHEGAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Proactive Care Pharmacy, LLC.
• Proactive Physical Therapy & Sports Medicine
• Procare Home Health Services Inc
• Procare Pharmacy LLC
• Ann Marie T. Prochera, M.D.
• Bradley Wayne Proctor, IDC
• Christopher Proctor
• Jacob Anderson Proctor, SFIDC
• Laura J Proctor, PHD
• Nicole Jolene Proctor, MSW

• Genetic Counselor (M.S.) in San Diego, CA
• Providers in San Diego, 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 May 1, 2017; 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.