Individual provider Active NPI

Melina Monique Bobadilla, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1295577229
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030013 Issued in CA
Practice address
1442 Ethan Way
Sacramento, CA 95825-2231
Phone
(916) 443-3299
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95030013 CA Primary

Addresses

Primary practice location

1442 Ethan Way
Sacramento, CA 95825-2231

Mailing address

1430 Q St Unit 402
Sacramento, CA 95811-6691
Phone (209) 534-6579

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212003532 CA Practitioner - Nurse Practitioner 7012443120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030013CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cares Community Health CurrentSince Oct 9, 2024 Accepting new patients
Cares Community Health CurrentSince Oct 9, 2024 Accepting new patients
Cares Community Health Multi-Specialty CurrentSince Jun 16, 2024 Accepting new patients

Locations

1442 Ethan Way
Sacramento, CA 95825
Phone (916) 443-3299

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

Interoperability endpoints

  • Direct secure messaging: mbobadilla744705@direct.ochin.org

Organizations & group practices 3

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1295577229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 Q ST UNIT 402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116691",
            "telephone_number": "209-534-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 ETHAN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252231",
            "telephone_number": "916-443-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBADILLA",
        "first_name": "MELINA",
        "middle_name": "MONIQUE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.