Organization Active NPI

Octave Bioscience, Inc

  • Clinical Medical Laboratory
  • Menlo Park, CA
National Provider Identifier
1871220764
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OCTAVE BIOSCIENCE, INC
Practice address
1440 Obrien Dr Ste B
Menlo Park, CA 94025-1672
Phone
(408) 718-6243
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Doug Biehn
Title
Chief Executive Officer
Phone
(650) 459-0942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1440 Obrien Dr Ste B
Menlo Park, CA 94025-1672

Mailing address

1440 Obrien Dr Ste B
Menlo Park, CA 94025-1672
Phone (650) 397-1795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240209000250 CA Part B Supplier - Independent Clinical Laboratory 8921441676 Practice locations: Menlo Park, CA

National Provider Directory

National Provider Directory

Locations

1440 Obrien Dr
Ste B
Menlo Park, CA 94025
Phone (408) 718-6243

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1871220764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 OBRIEN DR STE B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251672",
            "telephone_number": "650-397-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 OBRIEN DR STE B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251672",
            "telephone_number": "408-718-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVE BIOSCIENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BIEHN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-459-0942"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.