ROBERTA GATJEN HOROHO (NPI# 1780798744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780798744 |
| Entity Type | Individual |
| Full Name | ROBERTA GATJEN HOROHO |
| Credential | FNP |
| Practice Address |
500 Tully Rd Pediatric Clinic San Jose CA 95111-1917 |
| Mailing Address |
3578 Columbine Dr San Jose CA 95127-4912 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4082581690 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
FNP4733 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN124454 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 TULLY RD PEDIATRIC CLINIC |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992040 | Margarita Teresa Rodriguez | Technician, Other | 500 Tully Rd, San Jose, CA 95111-1917 | 2017-03-02 |
| 1093116634 | Ken Miyazato | Dentist | 500 Tully Rd, San Jose, CA 95111-1917 | 2014-09-15 |
| 1639508195 | Monilola M Layokun | Nurse Practitioner | 500 Tully Rd, San Jose, CA 95111-1917 | 2013-11-05 |
| 1396008470 | Chaoyu Kawamura | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-22 |
| 1013270727 | Lisa Nguyen | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-18 |
| 1245593953 | Anhdai Nguyen | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-18 |
| 1184986275 | Bao-chau Crystal Bui | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-13 |
| 1851683288 | Maryann Abiodun Pitts | Pediatrics | 500 Tully Rd, San Jose, CA 95111-1917 | 2011-05-03 |
| 1417284746 | Marina Wasche | Dentist | 500 Tully Rd, 2nd Floor Dental Clinic, San Jose, CA 95111-1917 | 2009-11-06 |
| 1316124951 | County of Santa Clara | Clinic/Center | 500 Tully Rd, San Jose, CA 95111-1917 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565738 | Lena Kil | Nurse Practitioner | 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 | 2020-10-09 |
| 1740893858 | Esther Kiang | Nurse Practitioner | 1072 E Santa Clara St, San Jose, CA 95116-2245 | 2020-08-28 |
| 1902419575 | Leonard Iskander | Nurse Practitioner | 1146 Summerpark Ct, San Jose, CA 95132-2944 | 2020-08-25 |
| 1760004055 | Destiny Ann Brewer | Nurse Practitioner | 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 | 2020-05-11 |
| 1841825148 | Marta Anna Sivarajah | Nurse Practitioner | 255 N. White Rd., San Jose, CA 95127-1966 | 2020-03-06 |
| 1114567500 | Sabine Dorothea Haas | Nurse Practitioner | 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 | 2020-01-14 |
| 1861033870 | Jessica Gutierrez | Nurse Practitioner | 635 S 11th St Apt 14, San Jose, CA 95112-2343 | 2019-10-01 |
| 1124589379 | Yvonne Ndeh | Nurse Practitioner | 418 Shadowgraph Dr, San Jose, CA 95110-3564 | 2019-03-29 |
| 1588139661 | Vicky Chi Lin | Nurse Practitioner | 100 Oak St Rm F-3, San Jose, CA 95110-2817 | 2018-10-04 |
| 1851884381 | Anh Tuan Huynh | Nurse Practitioner | 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 | 2018-06-09 |
| 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.