Organization Active NPI

Family Fertility Cryobank

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1952934556
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FAMILY FERTILITY CRYOBANK
Practice address
6699 Alvarado Rd Ste 2208
San Diego, CA 92120-5240
Phone
(619) 286-3520
Fax
(619) 265-1429
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mel I Cohen, PHD
Title
Coo
Phone
(303) 919-9540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

6699 Alvarado Rd Ste 2208
San Diego, CA 92120-5240

Mailing address

6699 Alvarado Rd Ste 2208
San Diego, CA 92120-5240
Phone (619) 286-3520

Other identifiers 1

IdentifierTypeStateIssuer
1790969016OtherCAKAISER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fertilitycryobank.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6699 Alvarado Rd
Ste 2208
San Diego, CA 92120
Phone (619) 286-3520

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1952934556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205240",
            "telephone_number": "619-286-3520",
            "fax_number": "619-265-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205240",
            "telephone_number": "619-286-3520",
            "fax_number": "619-265-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FERTILITY CRYOBANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-919-9540",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "1790969016",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fertilitycryobank.com",
            "affiliation": "N",
            "endpointDescription": "web stie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6699 Alvarado Rd Ste 2208",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921205240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.