GENOME MEDICAL SERVICES (NPI# 1407389695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407389695 |
| Entity Type | Organization |
| Organization Name | GENOME MEDICAL SERVICES |
| Practice Address |
701 Gateway Blvd Ste 380 South San Francisco CA 94080-7420 |
| Practice Telephone | 8776880992 |
| Practice Fax Number | 8569615322 |
| Mailing Telephone | 8776880992 |
| Mailing Fax Number | 8569615322 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | STEVEN BLEYL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8776880992 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Genome Medical Services P.C. | 701 South Gateway Boulevard Suite 380, South San Francisco, California 94080 |
| New York State Corporations | GENOME MEDICAL SERVICES, P.C. | 169 11th Street, San Francisco, California 94103 |
| System for Award Management (SAM) Entities | GENOME MEDICAL SERVICES, P.C. | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 |
| Colorado Business Entities | Genome Medical Services, P.C. | 701 South Gateway Boulevard, Suite 380, San Francisco, CA 94080 |
| Iowa Business Entities | GENOME MEDICAL SERVICES, P.C. | 701 South Gateway Boulevard, Suite 380, San Francisco, CA 94080 |
| Oregon Corporations, Companies and Business Names | GENOME MEDICAL SERVICES, P.C. | 701 S Gateway Blvd Ste 380, South San Francisco, CA 94080 |
| Washington State Corporations | GENOME MEDICAL SERVICES, P.C. | 701 S Gateway Blvd Suite 380, Redwood City, CA 94062 |
| Street Address |
701 GATEWAY BLVD STE 380 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619056181 | Alan Frederick Rope | Medical Genetics | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2006-11-03 |
| 1538706064 | Maria-renee J Coldagelli | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2019-12-03 |
| 1740748573 | Douglas Russell Stewart | Internal Medicine | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2019-03-11 |
| 1306263165 | Stefanie Weber | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2014-03-18 |
| 1033466032 | Danielle Lemke | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2012-08-08 |
| 1831490358 | Tara Newcomb | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706064 | Maria-renee J Coldagelli | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2019-12-03 |
| 1306263165 | Stefanie Weber | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2014-03-18 |
| 1699112375 | Christa Sherburne Adusei | Genetic Counselor, MS | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2013-06-04 |
| 1669815379 | Chana Wiesman | Genetic Counselor, MS | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2013-04-11 |
| 1033466032 | Danielle Lemke | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2012-08-08 |
| 1831490358 | Tara Newcomb | Genetic Counselor, MS | 701 Gateway Blvd Ste 380, South San Francisco, CA 94080-7420 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058950 | Daisy Hernandez | Genetic Counselor, MS | 2020 Zonal Ave # 410, Los Angeles, CA 90089-0121 | 2020-09-18 |
| 1114532769 | Jenna Stoltzfus | Genetic Counselor, MS | 725 Welch Rd # 5273, Palo Alto, CA 94304-1601 | 2020-09-10 |
| 1063026144 | Jacob Comeaux | Genetic Counselor, MS | 1450 Biggy St # 2517r, Los Angeles, CA 90033-1006 | 2020-09-04 |
| 1831700277 | Christina Kimiko Fujii | Genetic Counselor, MS | 5641 Delcliff Cir, Sacramento, CA 95822-2456 | 2020-08-10 |
| 1114535994 | Meghan Therese Blunt | Genetic Counselor, MS | 333 City Blvd W Ste 800, Orange, CA 92868-5901 | 2020-07-17 |
| 1639794076 | Joshua Ryan Barnhart | Genetic Counselor, MS | 133 La Casa Via Ste 140, Walnut Creek, CA 94598-3005 | 2020-06-11 |
| 1548883648 | Marian Joy Godinez Tsang | Genetic Counselor, MS | 4445 Thistle Dr, San Jose, CA 95136-2051 | 2020-05-22 |
| 1730702044 | Meghan Juliana Mckenna | Genetic Counselor, MS | 900 Blake Wilbur Dr Rm W3036, Palo Alto, CA 94304-2201 | 2020-05-20 |
| 1861014458 | Makenna Nicole Dubois | Genetic Counselor, MS | 9110 Blackbird Ave, Fountain Valley, CA 92708-6404 | 2020-05-18 |
| 1700426889 | Donna Lee Bernstein | Genetic Counselor, MS | 239 Reserve Ct, San Marcos, CA 92078-2054 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
Please comment or provide details below to improve the information on GENOME MEDICAL SERVICES.
| 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.