Individual provider Active NPI

Sheila Anne P Bobis, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1083024699
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51545 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone
(951) 785-7190
Fax
(951) 688-7246
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51545 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370

Mailing address

4234 Riverwalk Pkwy
Ste 280
Riverside, CA 92505-3370
Phone (951) 796-7579

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
I20150114001240 CA Practitioner - Physician Assistant 5092039370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baldev S Rai MD IncGroup PAC ID 2668562232, 7 clinicians

Practice addresses (Care Compare)

1839 W Redlands Blvd
Redlands, CA 92373-3118
Phone (951) 785-7190

4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-3370
Phone (951) 785-7190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51545CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Feb 20, 2016 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 20, 2016 Accepting new patients
Louie Medical Group, Inc. Past Accepting new patients

Locations

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sheila.bobispac.p1@direct.pnsm.nextgenshare.com
  • Direct secure messaging: sheila.bobis@908283864678404.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1083024699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053370",
            "telephone_number": "951-796-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053370",
            "telephone_number": "951-785-7190",
            "fax_number": "951-688-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBIS",
        "first_name": "SHEILA ANNE",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.