SUN GENOMICS, INC. (NPI# 1083204630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083204630 |
| Entity Type | Organization |
| Organization Name | SUN GENOMICS, INC. |
| Practice Address | 5151 Shoreham Pl Ste 180 San Diego CA 92122-5961 |
| Practice Telephone | 6618884799 |
| Mailing Address | 5151 Shoreham Pl Ste 105 San Diego CA 92122-5939 |
| Mailing Telephone | 6618884799 |
| Certification Date | 2021-01-18 |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |
| Authorized Official Telephone | 3178502234 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207ZC0006X | Pathology Specialization: Clinical Pathology | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA | 05D2194956 | Other |
| Other Name | Type Code |
|---|---|
| Flore Laboratories | Doing Business As Name |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Other URL | cloud-protect.net (Proofpoint Essentials) | 5151 Shoreham Pl Ste 180, San Diego, CA 921225961 | Direct | Other .csv, .pdf, .doc |
| Street Address | 5151 SHOREHAM PL STE 180 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-5961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker · Clinical | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner · Family | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner · Adult Health | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc · West Coast Eye Care Associates | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology · Psychiatry | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine · Endocrinology, Diabetes & Metabolism | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457773608 | Ian Finn | 12786 Salmon River Rd, San Diego, CA 92129-3553 | 2014-01-07 | |
| 1972801926 | Richard Deane Hockett Jr. | 10520 Wateridge Cir, San Diego, CA 92121-5782 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073351 | Frank Connors | 555 S Los Robles Ave Apt 1, Pasadena, CA 91101-3241 | 2020-08-14 | |
| 1083233407 | Super Lab Diagnostics Inc | 11755 Victory Blvd Ste 250, North Hollywood, CA 91606-3481 | 2020-04-15 | |
| 1548896491 | Jacob William Jorgensen | 154 Black Powder Cir, Folsom, CA 95630-3415 | 2020-03-22 | |
| 1457773608 | Ian Finn | 12786 Salmon River Rd, San Diego, CA 92129-3553 | 2014-01-07 | |
| 1760820518 | William Joseph Keenan | 408 Sunrise Ave, Suite 1, Roseville, CA 95661 | 2013-06-13 | |
| 1972801926 | Richard Deane Hockett Jr. | 10520 Wateridge Cir, San Diego, CA 92121-5782 | 2011-02-28 | |
| 1043531056 | Edward Taylor Sittler | 680 2nd St, San Francisco, CA 94107 | 2010-06-14 | |
| 1942536123 | Tara Ann Saunders | 505 Parnassus Ave M580, San Francisco, CA 94143 | 2009-10-23 | |
| 1992031132 | Victory Care Inc | 2131 Elks Dr Ste 103, San Bernardino, CA 92404-5571 | 2009-10-22 | |
| 1215174503 | Alan L.ee Epstein | Usc Keck School of Medicine, 2011 Zonal Avenue, Hmr 205, Los Angeles, CA 90089-0001 | 2009-01-08 | |
| Find all providers in the same taxonomy | ||||
| City | SAN DIEGO |
| Zip Code | 92122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063792299 | Sorenson Genomics, LLC · Sorenson Genomics - Identigene | Clinical Medical Laboratory | 2495 S West Temple, Salt Lake City, UT 84115-3057 | 2011-08-19 |
| 1467783753 | Matrix Genomics, Inc. · Matrix Genomics | Clinical Medical Laboratory | 3900 Paseo Del Sol, Santa Fe, NM 87507-4072 | 2010-01-26 |
| 1548886922 | Absolute Genomics Phl LLC · Absolute Genomics LLC | Clinical Medical Laboratory | 1300 Old Plank Rd, Mayfield, PA 18433-1973 | 2020-06-22 |
| 1093111312 | New Amsterdam Genomics, Inc. | Clinical Medical Laboratory | 114 E 1st St Apt 7, New York, NY 10009-7925 | 2014-11-13 |
| 1487298162 | Razor Genomics, Inc | Clinical Medical Laboratory | 150 N Hill Dr Ste 14, Brisbane, CA 94005-1023 | 2019-11-05 |
| 1407330574 | Premier Genomics LLC | Clinical Medical Laboratory | 250 Ed English Dr Ste D, Shenandoah, TX 77385-8019 | 2018-09-24 |
| 1750668703 | Everist Genomics, Inc. | Clinical Medical Laboratory | 709 W Ellsworth Rd, Ann Arbor, MI 48108-3371 | 2011-11-04 |
| 1790333227 | Discovery Genomics, Inc. | Clinical Medical Laboratory | 130 Theory Ste 150, Irvine, CA 92617-3028 | 2019-08-28 |
| 1881200079 | Coral Genomics, Inc. | Pathology · Molecular Genetic Pathology | 953 Indiana St, San Francisco, CA 94107-3007 | 2020-09-22 |
| 1568767929 | Everist Genomics | Clinical Medical Laboratory | 401 W Morgan Rd, Ann Arbor, MI 48108-9109 | 2011-01-17 |
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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.