DR. JOHN RODERICK TEN BOSCH (NPI# 1609211390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609211390 |
| Entity Type | Individual |
| Full Name | DR. JOHN RODERICK TEN BOSCH |
| Credential | PHD |
| Practice Address |
5755 Cottle Rd Bldg 6 San Jose CA 95123-3640 |
| Practice Telephone | 4089726752 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
MTO653 | CA | Allopathic & Osteopathic Physicians |
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
DRN64 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AMERICAN BOARD OF MEDICAL GENETICS | 2009152 | 01 |
| CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - LAB FIELD SERVICES | DRN64 | 01 |
| CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - LAB FIELD SERVICES | MTO653 | 01 |
| Street Address |
5755 COTTLE RD BLDG 6 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497971584 | Permanente Medical Group, Inc | Clinical Medical Laboratory | 5755 Cottle Rd Bldg 6, Tpmg Regional Genetics Lab, San Jose, CA 95123-3640 | 2007-04-17 |
| 1023349669 | Xu Li | Medical Genetics | 5755 Cottle Rd Bldg 6, San Jose, CA 95123-3640 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023190857 | Xiao-dong Han | Medical Genetics | 5755 Cottle Road, Building #6, Tpmg Regional Genetics Laboratory, San Jose, CA 95123 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103873 | Rady Children's Hospital Research Center | Medical Genetics | 7910 Frost St Ste 240, San Diego, CA 92123-2781 | 2020-01-16 |
| 1083279830 | Diagnomics | Medical Genetics | 5795 Kearny Villa Rd, San Diego, CA 92123-1111 | 2019-05-07 |
| 1518428119 | Dnafeed Inc | Medical Genetics | 13423 Moreton Gln, San Diego, CA 92130-1421 | 2019-03-27 |
| 1063992386 | Jennifer D. Keen-kim | Medical Genetics | 201 Industrial Rd Ste 410, San Carlos, CA 94070-2396 | 2018-08-16 |
| 1073054722 | Helio Azevedo Costa | Medical Genetics | 3375 Hillview Ave Rm 2201, Palo Alto, CA 94304-1204 | 2017-03-14 |
| 1669082558 | Kristin Kimberly Mcdonald Gibson | Medical Genetics | 1400 16th St, San Francisco, CA 94103-5110 | 2020-08-05 |
| 1043846728 | Chia-ling Gau Kawakami | Medical Genetics | 15 Argonaut, Aliso Viejo, CA 92656-1423 | 2020-03-13 |
| 1174031850 | Saurav Guha | Medical Genetics | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2018-01-17 |
| 1972057362 | Victoria Howell | Medical Genetics | 10666 N Torrey Pines Rd, Box 217, La Jolla, CA 92037-1027 | 2016-08-15 |
| 1568860120 | Joshua Deignan | Medical Genetics | 10833 Le Conte Ave, Reed 3155, Los Angeles, CA 90095-3075 | 2014-12-15 |
| Find all providers with the same taxonomy | ||||
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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.