Caredx Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

332008 Issued in CA

Legal business name

CAREDX INC.

Practice address

3260 Bayshore Blvd
Brisbane, CA 94005-1021

Phone

(415) 287-2300

Fax

(415) 287-2471

NPI assigned

Jul 8, 2006

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Hanna

Title

Ceo

Phone

(415) 287-2300

Specialties & licenses 1

Addresses

Other names 1

• XDx, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Member organizations 1

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

• The Transplant Pharmacy, LLC

  • Community/Retail Pharmacy
  • Flowood, MS
  • NPI 1437513876

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Wilber, PH.D.

  • Clinical Laboratory Director (Non-physician)
  • Brisbane, CA
  • NPI 1073754081
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1689607384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 BAYSHORE BLVD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "94005",
            "telephone_number": "415-287-2300",
            "fax_number": "415-287-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BAYSHORE BLVD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051021",
            "telephone_number": "415-287-2300",
            "fax_number": "415-287-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREDX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-287-2300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "332008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XDx, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Lee Abney, D.C.
• Vilma E Andari, MS
• Mark Jon Baker
• Marielle Celis Bolano, MD
• Brisbane School District
• Joyce Chan, PHARMD
• Jamie Dananberg, MD
• Jessie Del Valle
• Deepa Dharmarajan, M.D.
• Jacinta Tu-Tram Sy DO, DPM

• Clinical Medical Laboratory in Brisbane, CA
• Providers in Brisbane, 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 Sep 24, 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.