Ambry Genetics Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMBRY GENETICS CORPORATION

Practice address

7 Argonaut
Aliso Viejo, CA 92656-1423

Phone

(949) 900-5500

Fax

(949) 900-5501

NPI assigned

Nov 24, 2006

Last updated

Aug 22, 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

Michael Raymond Martinson

Title

Cfo

Phone

(949) 900-5585

Specialties & licenses 2

Addresses

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 of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tempus Ai, Inc.

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1740733708

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Dana Stolar

  • Genetic Counselor (M.S.)
  • Aliso Viejo, CA
  • NPI 1306492137
  NPD
• Dima El-Khechen, M.S., C.G.C.

  • Genetic Counselor (M.S.)
  • Aliso Viejo, CA
  • NPI 1396734968
  NPD (past)
• Chia-Ling Gau Kawakami, PH.D., ABMGG, NYCOQ,

  • Clinical Molecular Genetics Physician
  • Aliso Viejo, CA
  • NPI 1043846728
  NPD (past)
• Erick Lin, M.D., PH.D.

  • Clinical Pathology Physician
  • Aliso Viejo, CA
  • NPI 1992035984
  NPD (past)
• Trieu Timothy D Vo

  • Ph.D. Medical Genetics
  • Aliso Viejo, CA
  • NPI 1346410776
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1861568784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ENTERPRISE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562606",
            "telephone_number": "949-457-4143",
            "fax_number": "949-900-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ARGONAUT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561423",
            "telephone_number": "949-900-5500",
            "fax_number": "949-900-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBRY GENETICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-900-5585"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11694",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Allen
• Santisree Alluri, DDS
• Altus Treatment Services
• Altus Treatment Services
• Ambika Bhushan MD Inc
• Amera Al-Faleh, DDS, Inc. (Glow DNTL Dental Office of Amera Al-Faleh, DDS, Inc.)
• Amirali Karimi DDS Inc
• Aeryl Ancheta
• Kirsten Andersen, FNP-C
• Natascha Anderson Chevalier

• Clinical Medical Laboratory in Aliso Viejo, CA
• Providers in Aliso Viejo, 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 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.