RENZ LORENZ GATCHALIAN (NPI# 1124496690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124496690 |
| Entity Type | Individual |
| Full Name | RENZ LORENZ GATCHALIAN |
| Practice Address |
2416 W Tennyson Rd Apt 308 Hayward CA 94545-4158 |
| Practice Telephone | 5109094689 |
| Mailing Telephone | 5109094689 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | 90718960F02067 | 01 |
| CA | MEDI CAL | 91773198E15141 | 01 |
| CA | MEDI CAL | 95873198E89104 | 01 |
| Street Address |
2416 W TENNYSON RD APT 308 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132767 | Deaunne Denmark | Medical Genetics, Ph.D. Medical Genetics | 373 S Monroe St Ste 202, San Jose, CA 95128-5126 | 2020-04-13 |
| 1578012498 | Andre Turner | Medical Genetics, Ph.D. Medical Genetics | 120 N 13th Ave Apt D, Upland, CA 91786-5584 | 2016-10-04 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1285902080 | Gail Humble | Medical Genetics, Ph.D. Medical Genetics | 101 N PCh Hwy Ste 102, Redondo Beach, CA 90277-3149 | 2011-12-07 |
| 1598040784 | Maternal Fetal Medicine Medical Group of Southern California | Medical Genetics, Ph.D. Medical Genetics | 207 S. Santa Anita Street, Suite 338, Sangabriel, CA 91776-1160 | 2011-10-19 |
| 1518129048 | Dr Brian F Topkis A Medical Group | Medical Genetics, Ph.D. Medical Genetics | 2021 Mt Diablo Blvd #100, Walnut Creek, CA 94596 | 2008-06-26 |
| 1396946224 | Ramiro Futalan Sr. | Medical Genetics, Ph.D. Medical Genetics | 8292 Telegraph Rd, Downey, CA 90240-2277 | 2007-05-29 |
| 1518178110 | Fatolah Ferdowsian | Medical Genetics, Ph.D. Medical Genetics | 8845 E Crestview Ln, Anaheim, CA 92808-1664 | 2007-05-24 |
| 1649485616 | William Kent Seltzer | Medical Genetics, Ph.D. Medical Genetics | 111 W 3rd Ave, Apt. 305, San Mateo, CA 94402-1561 | 2007-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.