Carolyn M. Lobo, M.D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A63239 Issued in CA

Legal business name

CAROLYN M. LOBO, M.D., INC.

Practice address

1430 Tara Hills Dr
Suite a
Pinole, CA 94564-2580

Phone

(510) 724-3768

Fax

(435) 578-7062

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn M Lobo, M.D.,

Title

President

Phone

(510) 724-3768

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary J Gadwood, M.D.

  • Surgery Physician
  • Pinole, CA
  • NPI 1730245416
  NPD (past)
• Michael Grimes, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pinole, CA
  • NPI 1275500720
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1235357450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945640864",
            "telephone_number": "510-724-3768",
            "fax_number": "435-578-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "SUITE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-3768",
            "fax_number": "435-578-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN M. LOBO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "LOBO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A63239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A632390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -ENTITY 1",
            "identifier": "1588711709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Henson Rivera Caparas, DO
• Maribel Rebekha Cardenas
• Dimitri Rizal Cardona
• Carlene a Mendieta DDS
• Carolyn L. Yu, DDS, Inc
• Elizabeth Casey, DO
• Daisy Casias
• Manantial Casillas
• Kaliey Celes Castillo
• Katherine Ceja-Pacheco

• Surgery Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.