THOMAS BOUCHER (NPI# 1609140425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609140425 |
| Entity Type | Individual |
| Full Name | THOMAS BOUCHER |
| Credential | CNIM |
| Practice Address |
11121 Sun Center Dr Suite G Rancho Cordova CA 95670-6161 |
| Practice Telephone | 9166310112 |
| Mailing Telephone | 9166310112 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABRET CNIM | 2238 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409099 | Thomas Boucher | Pharmacist | 301 Bay Park Sq, Green Bay, WI 54304-5104 | 2013-12-10 |
| Street Address |
11121 SUN CENTER DR SUITE G |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-6161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801995477 | Gerri N Vogelsang | Physical Therapist | 11121 Sun Center Dr, #a, Rancho Cordova, CA 95670-6161 | 2006-09-21 |
| 1316564230 | Madison V Greenwood | Counselor | 11121 Sun Center Dr, Rancho Cordova, CA 95670-6161 | 2020-06-26 |
| 1346670072 | Justinl Breen | Specialist/Technologist, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2013-11-15 |
| 1790083723 | Quantum Neuromonitoring Corporation | Psychiatry & Neurology | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2011-02-28 |
| 1518151661 | Jerry Milton Dahm | Specialist/Technologist, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-08-31 |
| 1487869897 | Bobbie Schneider | Technician, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-05-11 |
| 1407078611 | Greg Reeder-esparza | Technician, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-05-03 |
| 1902028103 | Joseph Larsen | Registered Nurse | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-05-03 |
| 1437361680 | Ferdie Talento | Technician, Pathology | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-05-03 |
| 1710199989 | Patricia E. Wyatt | Technician, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346670072 | Justinl Breen | Specialist/Technologist, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2013-11-15 |
| 1518151661 | Jerry Milton Dahm | Specialist/Technologist, Other | 11121 Sun Center Dr, Suite G, Rancho Cordova, CA 95670-6161 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996296 | Kelly Olivia Brand | Specialist/Technologist, Other | 11044 Tennessee Ave, Los Angeles, CA 90064-1966 | 2020-06-09 |
| 1417576901 | Alpha Neuro-monitoring, LLC | Specialist/Technologist, Other | 751 E Blithedale Ave # 369, Mill Valley, CA 94941-1515 | 2020-04-14 |
| 1386276624 | Pinpoint Monitoring LLC | Specialist/Technologist, Other | 73521 Jameson Rd, Palm Desert, CA 92211-2031 | 2020-02-05 |
| 1255986329 | Hope Diagnostics Inc | Specialist/Technologist, Other | 10999 Riverside Dr 204, North Hollywood, CA 91602-2239 | 2019-08-06 |
| 1982267001 | California Diagnostic Specialists, Inc. | Specialist/Technologist, Other | 9191 Westminster Ave # 209, Garden Grove, CA 92844-2751 | 2019-04-15 |
| 1083174213 | Svetlana Almeida | Specialist/Technologist, Other | 28201 La Plumosa, Laguna Niguel, CA 92677-7049 | 2019-03-22 |
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1184191256 | Satellite Medical LLC | Specialist/Technologist, Other | 3478 Buskirk Ave Ste 140, Pleasant Hill, CA 94523-4383 | 2018-10-26 |
| 1063994879 | Martin Phan | Specialist/Technologist, Other | 2995 Edison Dr, San Jose, CA 95133-2412 | 2018-08-29 |
| 1285123588 | Vincent Mattiello | Specialist/Technologist, Other | 13924 Marquesas Way Apt 2302, Marina Del Rey, CA 90292-6020 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
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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.