NPIMap

Organization Active NPI

Personalis, Inc.

  • Clinical Medical Laboratory
  • Menlo Park, CA
National Provider Identifier
1871998096
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00343226 Issued in CA
Legal business name
PERSONALIS, INC.
Practice address
1330 Obrien Dr
Menlo Park, CA 94025-1436
Phone
(650) 752-1300
Fax
(650) 752-1301
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
John West
Title
Ceo
Phone
(650) 752-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF00343226 CA Primary

Addresses

Primary practice location

1330 Obrien Dr
Menlo Park, CA 94025-1436

Mailing address

1330 Obrien Dr
Menlo Park, CA 94025-1436
Phone (650) 752-1300

Other identifiers 1

IdentifierTypeStateIssuer
05D2053444OtherCACLA

National Provider Directory

National Provider Directory
Tax ID family
Personalis Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1330 Obrien Dr
Menlo Park, CA 94025
Phone (650) 752-1300

Practitioners & affiliated clinicians

Practitioners 4

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1871998096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251436",
            "telephone_number": "650-752-1300",
            "fax_number": "650-752-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251436",
            "telephone_number": "650-752-1300",
            "fax_number": "650-752-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-752-1300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00343226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLA",
            "identifier": "05D2053444",
            "state": "CA"
        }
    ],
    "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 Nov 30, 2021; 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.