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GENESIS CONCIERGE MEDICINE
NPI 1235852138
Nurse Practitioner - Family in Manhattan Beach, CA

Active since September 26, 2022
1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266(562) 661-9104(562) 286-8240 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Concierge Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS CONCIERGE MEDICINE (NPI 1235852138) is a healthcare organization registered as a family in Manhattan Beach, California and active in the NPI registry since September 2022. The organization lists Brittani Hicks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235852138
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGENESIS CONCIERGE MEDICINE
Location Address1230 ROSECRANS AVE STE 300Manhattan Beach, CA 90266-2494
Mailing Address1230 Rosecrans Ave Ste 300Manhattan Beach, CA 90266-2494 · (562) 661-9104 · Fax (562) 286-8240
Phone(562) 661-9104
Fax(562) 286-8240
Organization SubpartNo
Authorized OfficialBrittani HicksCeo · (562) 661-9104
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 25, 2022
✔ NPI 1235852138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1230 ROSECRANS AVE STE 300, Manhattan Beach, CA 90266
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILY DIEMLY TRAN
Social Worker (Clinical)
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (213) 222-8402
GRETCHELLE QUIAMBAO
Social Worker (Clinical)
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (213) 259-3234
ELIZABETH NGOC NGUYEN
Marriage & Family Therapist
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (213) 222-8402
SARAH NAM
Marriage & Family Therapist
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 561-1008
NICOLE JUN-YEE LAI LMSW
Social Worker (Clinical)
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (213) 222-8402
APRILLA MARCELLA OLIVER RDN
Dietitian, Registered
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (562) 726-2688
MS. DANA RENEE LEPAGE LMSW
Social Worker (Clinical)
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 561-1008
MISS ENRIKA GERELYN ASUNCION MANALO
Social Worker (Clinical)
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA 90266
Los Angeles County (213) 222-8402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Concierge Medicine's NPI number?

The NPI number for Genesis Concierge Medicine is 1235852138. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is Genesis Concierge Medicine located?

Genesis Concierge Medicine is located at 1230 Rosecrans Ave Ste 300, Manhattan Beach, CA 90266. The listed phone number is (562) 661-9104.

What is Genesis Concierge Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Genesis Concierge Medicine was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.