Active NPI
Melina Monique Bobadilla, FNP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1295577229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030013
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95030013 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cares Community Health | Current | Accepting new patients | |
| Cares Community Health | Current | Accepting new patients | |
| Cares Community Health | Multi-Specialty | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1447297379
CA, Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Carmichael, CA
- NPI 1255180873
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1982114492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.