ESOTERIX GENETIC COUNSELING, LLC (NPI# 1487949624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487949624 |
| Entity Type | Organization |
| Organization Name | ESOTERIX GENETIC COUNSELING, LLC |
| Practice Address |
655 E Huntington Dr Monrovia CA 91016-3636 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 6264717443 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | MR. WILLIAM B HAYES (CFO EVP TREASURER) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 05D0907763 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538440300 | Esoterix Genetic Counseling, LLC | Clinical Medical Laboratory | 338 S Main St, Burlington, NC 27215-5837 | 2011-09-07 |
| 1871770289 | Esoterix Genetic Counseling, LLC | Clinic/Center | 833 Chestnut St, Ste. 1250, Philadelphia, PA 19107-4414 | 2008-01-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ESOTERIX GENETIC COUNSELING, LLC | 231 Maple Avenue, Burlington, NC 27215 |
| Street Address |
655 E HUNTINGTON DR |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285696203 | Robert Joseph Wallerstein | Medical Genetics | 655 E Huntington Dr, Monrovia, CA 91016 | 2006-04-05 |
| 1487278891 | Natasha Chadburn | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2020-06-01 |
| 1447899893 | Dmitriy Kolesnikov Semyon | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2020-01-02 |
| 1639724016 | Preethi Raghuram Pillai | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2019-08-02 |
| 1144889577 | Brittany Noble | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2019-06-10 |
| 1215596796 | Samantha Jo Mcallister | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2019-06-10 |
| 1790341857 | Kirsten Anne Kelly | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2019-05-14 |
| 1134601388 | Alexandra Kay Ellison | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016 | 2018-09-04 |
| 1720574320 | Dara Catherine Sasaki | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2018-07-06 |
| 1669964805 | Kyra Michelle Firestone | Genetic Counselor, MS | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| Taxonomy Code | 261QG0250X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Genetics |
| An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134306541 | Esoterix Genetic Counseling | Clinic/Center | 655 East Huntington Dr, Monrovia, CA 91016-3636 | 2008-01-28 |
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| 1831352012 | California Pacific Medical Center | Clinic/Center | 3700 California St Rm 4360, San Francisco, CA 94118-1618 | 2008-07-08 |
| 1669661815 | University of California, San Diego | Clinic/Center | 9350 Campus Point Dr Ste 2d, La Jolla, CA 92037-1300 | 2007-10-23 |
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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.