DR. JUSTIN ODEGAARD (NPI# 1275965162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275965162 |
Entity Type | Individual |
Full Name | DR. JUSTIN ODEGAARD |
Credential | MD, PHD |
Practice Address |
3375 Hillview Ave Palo Alto CA 94304-1204 |
Mailing Address |
81 Lansing St Apt 304 San Francisco CA 94105-2647 |
Practice Telephone | 6508142311 |
Mailing Telephone | 6508142311 |
Enumeration Date | 2013-08-02 |
Last Update Date | 2013-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
A113725 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3375 HILLVIEW AVE |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710166285 | Bruce Kendrick Patterson | Pathology | 3375 Hillview Ave, Palo Alto, CA 94304-1204 | 2007-10-31 |
1487142485 | Catherine Anne Hogan | Internal Medicine | 3375 Hillview Ave, Palo Alto, CA 94304-1204 | 2018-04-25 |
1801343215 | Swaroop Aradhya | Medical Genetics, Ph.D. Medical Genetics | 3375 Hillview Ave, Molecular Genetics Laboratory, Palo Alto, CA 94304-1204 | 2016-09-01 |
1699062489 | Tina Marie Cowan | Medical Genetics, Ph.D. Medical Genetics | 3375 Hillview Ave, Room 2101, Palo Alto, CA 94304-1204 | 2011-06-30 |
1811295165 | Athena M Cherry | Pathology | 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 | 2011-03-10 |
1508029091 | Niaz Banaei | Pathology | 3375 Hillview Ave, Rm. 1602, Palo Alto, CA 94304-1204 | 2008-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
Find all providers in zip 94304 |
Taxonomy Code | 207ZP0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Molecular Genetic Pathology |
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447864111 | Stuart A Scott | Pathology | 3375 Hillview Ave Rm 1810, Palo Alto, CA 94304-1204 | 2020-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658848 | Breakthrough Genomics | Pathology | 25 Mauchly Ste 313, Irvine, CA 92618-2361 | 2020-10-26 |
1881200079 | Coral Genomics, Inc. | Pathology | 953 Indiana St, San Francisco, CA 94107-3007 | 2020-09-22 |
1235572819 | Saed Rahmat Sadeghi | Pathology | 13447 Spectrum, Irvine, CA 92618-3427 | 2013-04-12 |
1851641641 | Clarient Diagnostic Services, Inc. | Pathology | 21031 Ventura Boulevard, Suite 700, Woodland Hills, CA 91364-2239 | 2012-09-19 |
1720162167 | Su Sin Chen | Pathology | 3017 Telegraph Ave Ste 100, Berkeley, CA 94705-2049 | 2006-10-24 |
1043796188 | Erik William Nohr | Pathology | 300 Pasteur Drive, Room L235, Mc:5324, Stanford, CA 94305 | 2018-07-12 |
1699294074 | Robert Eric Bookstein | Pathology | 8700 Beverly Blvd., Los Angeles, CA 90048 | 2017-09-17 |
1023549185 | Bing Zhang | Pathology | 300 Pasteur Dr, Lane 235, Stanford, CA 94305-2200 | 2017-03-21 |
1740686062 | Suzanne Kaye Coberly | Pathology | 1120 Veterans Blvd, 1120 Veterans Blvd, South San Francisco, CA 94080-1985 | 2014-11-13 |
1629407481 | Nilesh Dharajiya | Pathology | 3595 John Hopkins Ct, San Diego, CA 92121-1121 | 2013-11-02 |
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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.