Organization Active NPI

Coral Genomics, Inc.

  • Molecular Genetic Pathology (Pathology) Physician
  • San Francisco, CA
National Provider Identifier
1881200079
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
Legal business name
CORAL GENOMICS, INC.
Practice address
953 Indiana St
San Francisco, CA 94107-3007
Phone
(516) 474-5612
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Atray Dixit, PHD
Title
Ceo
Phone
(516) 474-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0007X Primary

Addresses

Primary practice location

953 Indiana St
San Francisco, CA 94107-3007

Mailing address

953 Indiana St
San Francisco, CA 94107-3007
Phone (516) 474-5612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1881200079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 INDIANA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073007",
            "telephone_number": "516-474-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 INDIANA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073007",
            "telephone_number": "516-474-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GENOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "DIXIT",
        "authorized_official_first_name": "ATRAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-474-5612",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

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