PERMANENTE MEDICAL GROUP, INC (NPI# 1497971584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497971584 |
| Entity Type | Organization |
| Organization Name | PERMANENTE MEDICAL GROUP, INC |
| Practice Address |
5755 Cottle Rd Bldg 6 Tpmg Regional Genetics Lab San Jose CA 95123-3640 |
| Mailing Address |
Tpmg Financial Management 1950 Franklin, 18th Floor Oakland CA 94612-5103 |
| Practice Telephone | 4089723308 |
| Mailing Telephone | 5109871000 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | MS. PATRICIA T WEST (VP FINANCE) |
| Authorized Official Telephone | 5102957207 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERMANENTE MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF 11121 | CA | Laboratories |
| Street Address |
5755 COTTLE RD BLDG 6 TPMG REGIONAL GENETICS LAB |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3640 |
| 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 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1770117913 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 2260 Clove Dr Ste 127, San Jose, CA 95128-2634 | 2020-02-26 |
| 1124500137 | Shield Diagnostics Corp. | Clinical Medical Laboratory | 2865 Zanker Rd, San Jose, CA 95134-2101 | 2018-09-06 |
| 1457798019 | Sleep Clinic of Northern California | Clinical Medical Laboratory | 999 Story Road, Suite 9021, San Jose, CA 95122-4604 | 2013-05-22 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1700930187 | Unilab Corporation | Clinical Medical Laboratory | 985 Timothy Dr, San Jose, CA 95133-1043 | 2007-01-22 |
| 1528165883 | County of Santa Clara | Clinical Medical Laboratory | 2220 Moorpark Ave Fl 2, San Jose, CA 95128-2613 | 2006-09-20 |
| 1598860611 | South County Sleep Disorders Medical Center Inc | Clinical Medical Laboratory | 2520 Samaritan Dr Ste 104a, San Jose, CA 95124-4106 | 2006-09-13 |
| 1861438608 | Unilab Corporation | Clinical Medical Laboratory | 2369 Bering Dr, San Jose, CA 95131-1125 | 2006-06-21 |
| Find all providers in SAN JOSE | ||||
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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.