Vishnu V Bobba, MD

Primary specialty

In Vivo & In Vitro Nuclear Medicine PhysicianTaxonomy code 207UN0903X

License

A40046 Issued in CA

Practice address

2615 East Clinton Avenue
VA Central California Healthcare System
Fresno, CA 93703-2223

Phone

(559) 228-5311

Fax

(559) 228-6952

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vishnu Vardhana Rao Bobba Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184638686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 EAST CLINTON AVENUE",
            "address_2": "VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-228-5311",
            "fax_number": "559-228-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 EAST CLINTON AVENUE",
            "address_2": "VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-228-5311",
            "fax_number": "559-228-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "VISHNU",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "CA",
            "license": "A40046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VISHNU",
            "last_name": "BOBBA",
            "middle_name": "VARDHANA RAO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eric Martin Blumenfeld, MD
• BNB Non Emergency Medical Transportation. LLC
• Tria Pearl Paires Boado Biltz, LCSW, PPSC
• Angela Julie Boardman, M.S. LMFT
• Lavanya VL Bobba, MD
• Patrick Bobga Ndagoh
• Anna Bobikova
• Matt James Bobman, PT
• Fernanda Bocanegra Rios
• Bodied by B LLC

• Nuclear Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Nuclear Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.