OrganizationActive
Mygenbio, Inc
NPI 1700603321 · Medical Foods Supplier · San Jose, CA
Provider details
- NPI number
- 1700603321
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Steve Yum, Cfo(408) 472-4771
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
160 E Tasman Dr # 210
San Jose, CA 95134-1619
Phone: (669) 307-3650
Street-level locationGet directions
Mailing address
160 E Tasman Dr # 210
San Jose, CA 95134-1619
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.