Manjula Bobbala, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A87444 Issued in CA

Practice address

2575 E Bidwell St
Suite #210
Folsom, CA 95630-6444

Phone

(916) 984-7850

Fax

(916) 984-7877

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Chandan DS Cheema MD Inc

  • Internal Medicine Physician
  • Fair Oaks, CA
  • NPI 1598965667
  Medicare reassignment

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1184797326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "address_2": "SUITE #210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-984-7850",
            "fax_number": "916-984-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "address_2": "SUITE #210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-984-7850",
            "fax_number": "916-984-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBALA",
        "first_name": "MANJULA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Acupuncture and Integrative Medicine
• Blue Oak Chiropractic Incorporated
• Bluff Enterprises Corp
• Kaleb Boas, MA, LMFT
• Katlin Nicole Boas, LMFT
• Body Concepts Inc.
• Body Concepts, Inc.
• Jeanine Bogart, LMFT
• Marina Bogdanich
• Sydni Bohannon

• Internal Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.