DR. JIANBO JAMES SONG (NPI# 1043655640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043655640 |
| Entity Type | Individual |
| Full Name | DR. JIANBO JAMES SONG |
| Credential | PHD |
| Practice Address |
5755 Cottle Rd Building 2 Genetics San Jose CA 95123-3640 |
| Mailing Address |
3145 Purdue Ave Los Angeles CA 90066-1405 |
| Practice Telephone | 4089723330 |
| Mailing Telephone | 3108695572 |
| 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 |
|---|---|---|---|---|---|
| Y | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
MTO666 | CA | Allopathic & Osteopathic Physicians |
| N | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
MTP288 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5755 COTTLE RD BUILDING 2 GENETICS |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205238 | Jazmine H Jung | Genetic Counselor, MS | 5755 Cottle Rd, Bldg #1, San Jose, CA 95123-3640 | 2005-12-12 |
| 1891240016 | Priyanka Murali | Genetic Counselor, MS | 5755 Cottle Rd, San Jose Genetics Dept Cottle Road, Building 1, San Jose, CA 95123-3640 | 2016-08-17 |
| 1407208226 | Swetha Vajapey | Psychologist | 5755 Cottle Rd, Building #4, San Jose, CA 95123-3640 | 2016-07-05 |
| 1134588163 | Gina Liu | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2016-02-18 |
| 1649651480 | Natalie Geeter | Genetic Counselor, MS | 5755 Cottle Rd, San Jose, CA 95123-3640 | 2015-06-17 |
| 1164869772 | Holly Erin Carwana | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2013-05-23 |
| 1982942454 | Lauren Shelly | Psychologist | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2013-01-17 |
| 1386924223 | Karen Holbrook | Genetic Counselor, MS | 5755 Cottle Rd, Bldg 1, San Jose, CA 95123-3640 | 2011-08-24 |
| 1033411434 | Melissa Emmert | Psychologist | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2010-11-17 |
| 1275856403 | Heena Deepak Panchal | Family Medicine | 5755 Cottle Rd, San Jose, CA 95123-3640 | 2010-03-02 |
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| 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 | 207SC0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Cytogenetic |
| A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
| 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. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609211390 | John Roderick Ten Bosch | Medical Genetics | 5755 Cottle Rd Bldg 6, San Jose, CA 95123-3640 | 2013-05-08 |
| 1477884872 | Feng Li | Medical Genetics | 5755 Cottle Rd, Building 6, San Jose, CA 95123-3640 | 2010-01-25 |
| 1760713176 | Elaine Louie | Medical Genetics | 5755 Cottle Rd, Building #6, San Jose, CA 95123-3640 | 2010-01-25 |
| 1023349669 | Xu Li | Medical Genetics | 5755 Cottle Rd Bldg 6, San Jose, CA 95123-3640 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344578 | Fabiola Quintero-rivera | Medical Genetics | 1010 Veteran Ave # 22-12h, Los Angeles, CA 90024-2704 | 2019-09-05 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1366719858 | Zhongxia Qi | Medical Genetics | 185 Berry Street, Suite 290, Room 2421, San Francisco, CA 94107-1773 | 2011-11-28 |
| 1174716559 | Maya Thangavelu | Medical Genetics | 1054 Town and Country Rd, Orange, CA 92868-4716 | 2007-08-20 |
| 1518030352 | Melanie Manning | Medical Genetics | 300 Pasteur Dr # H-315, Palo Alto, CA 94305-2200 | 2006-11-17 |
| 1619956380 | Marie Louise Dell'aquila | Medical Genetics | 9500 Gilman Dr, Ucsd Division of Medical Genetics-0639, La Jolla, CA 92093-0639 | 2006-01-11 |
| 1346228087 | Philip D. Cotter | Medical Genetics | 5 Mason Lane, Suite 100, Irvine, CA 92618-2552 | 2006-01-04 |
| 1801403688 | Jia-chi Wang | Medical Genetics | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-09-25 |
| 1225592793 | Sung-hae Kang | Medical Genetics | 10833 Le Conte Avenue, Department of Pathology & Laboratory Medicine, Los Angeles, CA 90095 | 2019-01-29 |
| 1356837538 | Elizabeth Spiteri | Medical Genetics | 900 Welch Rd, Palo Alto, CA 94304-1805 | 2018-07-10 |
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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.