Individual provider Active NPI

Manuel Alejandro Doblado, M.D

  • Reproductive Endocrinology Physician
  • Sacramento, CA
National Provider Identifier
1144546151
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A131490 Issued in CA
Practice address
4320 Auburn Blvd
Sacramento, CA 95841-4166
Phone
(916) 773-2229
Fax
(916) 773-8391
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A131490 CA Primary

Addresses

Primary practice location

4320 Auburn Blvd
Sacramento, CA 95841-4166

Mailing address

9500 Gilman Dr Dept 633
La Jolla, CA 92093-0633
Phone (314) 443-8205

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923002389 CA Practitioner - Obstetrics/Gynecology 1456570472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131490CAMDMarriage & Family Therapist
A131490CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Ncfmc Reproductive Endocrinology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2521 Stockton Blvd
Ste 4200
Sacramento, CA 95817
Phone (916) 734-6016

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

Interoperability endpoints

  • Direct secure messaging: mdoblado373035@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1144546151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR DEPT 633",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930633",
            "telephone_number": "314-443-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414166",
            "telephone_number": "916-773-2229",
            "fax_number": "916-773-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLADO",
        "first_name": "MANUEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A131490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.