Organization Active NPI

Discovery Genomics, Inc.

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1790333227
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DISCOVERY GENOMICS, INC.
Practice address
130 Theory Ste 150
Irvine, CA 92617-3028
Phone
(714) 980-1011
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Dr. Sanjay Patil, MDNPI 1417950510
Title
Ceo
Phone
(714) 980-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

130 Theory Ste 150
Irvine, CA 92617-3028

Mailing address

2260 University Dr
Newport Beach, CA 92660-3319
Phone (949) 220-1702

National Provider Directory

National Provider Directory

Locations

130 Theory
Ste 150
Irvine, CA 92617
Phone (714) 980-1011

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": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1790333227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 UNIVERSITY DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603319",
            "telephone_number": "949-220-1702",
            "fax_number": "949-220-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THEORY STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173028",
            "telephone_number": "714-980-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY GENOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-980-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.