Individual provider Active NPI

Patricia Nabors King, NP

  • Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1053417329
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP12519 Issued in CA
Practice address
1600 Creekside Dr Ste 2100
Folsom, CA 95630-3447
Phone
(916) 983-2663
Fax
(916) 983-2663
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP12519 CA Primary

Addresses

Primary practice location

1600 Creekside Dr Ste 2100
Folsom, CA 95630-3447

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 667-0702

Other practice location 1

9696 Stephens St
Delhi, CA 95315-9550
Phone (209) 667-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000023 CA Practitioner - Nurse Practitioner 3678726775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gina Tobalina MD IncGroup PAC ID 7012167281, 5 clinicians

Practice addresses (Care Compare)

1615 Creekside Dr
Suite 101
Folsom, CA 95630-3491
Phone (916) 803-2602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Tobalina MD Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

1615 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 803-2602

Interoperability endpoints

  • Direct secure messaging: pking12928@hpmg.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053417329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-667-0702",
            "fax_number": "209-667-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 2100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303447",
            "telephone_number": "916-983-2663",
            "fax_number": "916-983-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9696 Stephens St",
            "address_purpose": "LOCATION",
            "city": "Delhi",
            "state": "CA",
            "postal_code": "953159550",
            "country_code": "US",
            "telephone_number": "209-667-0702",
            "fax_number": "209-667-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "PATRICIA",
        "middle_name": "NABORS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP12519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.