Organization Active NPI

Enable Biosciences Inc

  • Clinical Medical Laboratory
  • South San Francisco, CA
National Provider Identifier
1689236598
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ENABLE BIOSCIENCES INC
Practice address
510 Myrtle Ave Ste 101
South San Francisco, CA 94080-4562
Phone
(650) 636-4218
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Peter Robinson, PH.D.
Title
Chief Operating Officer
Phone
(415) 967-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

510 Myrtle Ave Ste 101
South San Francisco, CA 94080-4562

Mailing address

510 Myrtle Ave Ste 101
South San Francisco, CA 94080-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827001263 CA Part B Supplier - Independent Clinical Laboratory 1658810304 Practice locations: South San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2171855Enable Biosciences510 Myrtle Ave Ste 101, South San Francisco, CA 94080AccreditationFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

510 Myrtle Ave
Ste 101
South San Francisco, CA 94080
Phone (510) 693-3583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1689236598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MYRTLE AVE STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MYRTLE AVE STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804562",
            "telephone_number": "650-636-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE BIOSCIENCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "415-967-1460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.