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KAISER PERMANENTE
NPI 1366825754
Genetic Counselor, MS in Oakland, CA

Active since July 02, 2015CLIA 05D1020064 · Waiver
3505 BROADWAY, MOSSWOOD BUILDING, 10TH FLOOR, OAKLAND, CA 94611(510) 752-6396 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente NPPES

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

KAISER PERMANENTE (NPI 1366825754) is a healthcare organization registered as a genetic counselor, ms in Oakland, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Robbie F Fox, Genetics Clinical Services Manager, as its authorized official.

NPPES Registry Identity

NPI1366825754
Entity TypeOrganization
Primary Taxonomy170300000X
Legal Business NameKAISER PERMANENTE
Location Address3505 BROADWAY, MOSSWOOD BUILDING, 10TH FLOOROakland, CA 94611-5714
Mailing Address3505 Broadway, Mosswood Building, 10th FloorOakland, CA 94611-5714
Phone(510) 752-6396
Organization SubpartNo
Authorized OfficialRobbie F FoxGenetics Clinical Services Manager · (510) 752-6396
Enumeration DateJuly 2, 2015
✔ NPI 1366825754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in CA · GC000653
Definition
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.
3505 BROADWAY, Oakland, CA 94611
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1020064

Kaiser Permanente - Division Of Research · Oakland, CA
Active · expires Dec 9, 2027
CLIA Number05D1020064
Laboratory TypeResearch
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorTracy Lieu
Laboratory Phone(510) 891-3270
Laboratory LocationKaiser Permanente - Division Of Research3505 Broadway, 9th Fl, Oakland, CA 94611
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

JAIBIR SINGH KHERA
Student in an Organized Health Care Education/Training Program
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1200
MS. SUE A. HINES MSW
Social Worker (Clinical)
3505 BROADWAY, 7TH FLOOR
OAKLAND, CA 94611
Alameda County (510) 752-6842
DR. REBECCA LADD EAKINS AUSTIN M.D.
Pediatrics
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1200
BRIANNA GENTILE MS, MPH, CGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
JENNA TIDWELL
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-6298
DR. ROXIE MARIE MAYFIELD-STONE PH.D.
Psychologist (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1447
KATE PAYNE LCSW
Social Worker (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-5711
FURYAL MAHMOOD MS, LCGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-6298

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 Kaiser Permanente's NPI number?

The NPI number for Kaiser Permanente is 1366825754. It was assigned to this organization in the NPPES registry on July 2, 2015.

Where is Kaiser Permanente located?

Kaiser Permanente is located at 3505 Broadway Mosswood Building, 10th Floor, Oakland, CA 94611. The listed phone number is (510) 752-6396.

What is Kaiser Permanente's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

Does Kaiser Permanente hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1020064) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaiser Permanente was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.