KAISER PERMANENTE
NPI 1366825754
Genetic Counselor, MS in Oakland, CA
NPI Status: Active since July 02, 2015
Contact Information
3505 BROADWAY
MOSSWOOD BUILDING, 10TH FLOOR
OAKLAND, CA
ZIP 94611
Phone: (510) 752-6396
- Organization
- Genetic Counselor, MS
- CLIA Number: 05D1020064
- CLIA Cert. Type: Other - RESEARCH
- CLIA Exp. Date: 12-09-2027
About KAISER PERMANENTE
This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Oakland, California operating as a Genetic Counselor, Ms. The healthcare provider is registered in the NPI registry with number 1366825754 assigned on July 2015. The practitioner's primary taxonomy code is 170300000X with license number GC000653 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Kaiser Permanente operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robbie F Fox Ms, Cgc (Genetics Clinical Services Manager)
- NPI
- 1366825754
- Provider Name
- KAISER PERMANENTE
- Entity Type
- Organization
- Location Address
- 3505 BROADWAY MOSSWOOD BUILDING, 10TH FLOOR OAKLAND, CA 94611
- Location Phone
- (510) 752-6396
- Mailing Address
- 3505 BROADWAY MOSSWOOD BUILDING, 10TH FLOOR OAKLAND, CA 94611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2015
- Last Update Date
- 07-02-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Genetic Counselor, MS
- Taxonomy Code
- 170300000X
- Type
- Other Service Providers
- License No.
- GC000653
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1020064
- Facility Type
- Other - RESEARCH
- Certificate Effective Date
- December 10, 2025
- Certificate Expiration Date
- December 09, 2027
- Laboratory Director
- TRACY LIEU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kaiser Permanente to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366825754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366825754, enumerated as an "organization" on July 02, 2015.
The provider is located at 3505 BROADWAY MOSSWOOD BUILDING, 10TH FLOOR OAKLAND, CA 94611 and the phone number is (510) 752-6396.
Genetic Counselor, MS with taxonomy code 170300000X.
