Organization Active NPI

Basis Diagnostics Inc.

  • Clinical Medical Laboratory
  • Redwood City, CA
National Provider Identifier
1942891312
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BASIS DIAGNOSTICS INC.
Practice address
2688 Middlefield Rd Ste a
Redwood City, CA 94063-3483
Phone
(855) 920-4522
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Andreas Matthias Kogelnik, MDNPI 1922113331
Title
Ceo
Phone
(650) 776-4703

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

2688 Middlefield Rd Ste a
Redwood City, CA 94063-3483

Mailing address

2688 Middlefield Rd Ste a
Redwood City, CA 94063-3483
Phone (855) 920-4522

Other identifiers 1

IdentifierTypeStateIssuer
1922113331OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://devio.basisdx.org/covid/get_data Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

39655 Eureka Dr
Newark, CA 94560

2688 Middlefield Rd
Ste A
Redwood City, CA 94063
Phone (617) 519-6626

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1942891312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 MIDDLEFIELD RD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633483",
            "telephone_number": "855-920-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2688 MIDDLEFIELD RD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633483",
            "telephone_number": "855-920-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIS DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KOGELNIK",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-776-4703",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922113331",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://devio.basisdx.org/covid/get_data",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2688 Middlefield Rd Ste A",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940633483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.