Active NPI
Prakash Dobaria, M.D.
- Hospitalist Physician
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A77951
- Practice address
- 1095 Marshall Way
Placerville, CA 95667-5722 - Phone
- (530) 626-2920
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A77951 | CA | |
| Hospitalist Physician | 208M00000X | A77951 | CA | Primary |
Addresses
Primary practice location
1095 Marshall Way
Placerville, CA 95667-5722
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-2920
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Marshall Way
Placerville, CA 95667-5722
3581 Palmer Dr
Suite 602
Cameron Park, CA 95682-8238
Phone (530) 672-7000
Hospital & facility affiliations
- Marshall Medical Center
- Sutter Medical Center, Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77951 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Internal Medicine | Current | Accepting new patients |
| Marshall Medical Center | Current | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601
1095 Marshall Way
Placerville, CA 95667
Phone (530) 626-2920
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
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.
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
Internal Medicine
-
- Family Medicine Physician
- Placerville, CA
- NPI 1326286048
-
- Interventional Cardiology Physician
- Placerville, CA
- NPI 1215181664
-
- Home Health Agency
- Diamond Springs, CA
- NPI 1992705040
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1225039779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45680",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941450680",
"telephone_number": "530-626-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 MARSHALL WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675722",
"telephone_number": "530-626-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBARIA",
"first_name": "PRAKASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A77951",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A77951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.