Empower Genomics Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMPOWER GENOMICS CORP

Practice address

600 La Terraza Blvd
Escondido, CA 92025-3873

Phone

(858) 382-6768

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Kyle McCollum

Title

Cfo

Phone

(949) 375-6566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1982360004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LA TERRAZA BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253873",
            "telephone_number": "858-382-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LA TERRAZA BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253873",
            "telephone_number": "858-382-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9924 Mesa Rim Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921212910",
            "country_code": "US",
            "telephone_number": "185-838-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER GENOMICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-375-6566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emeritus Corporation
• Emerson Medical Consultants, LLC
• Dana Lynn Emert
• Erick Emms
• Employed Providers PC
• Benito Encabo
• Sean Matthew Encarnacion
• Encore Home Therapy Inc.
• Lida Enferad
• Richard C Engel, M.D.

• Clinical Medical Laboratory in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.