Active NPI
Daniel Erwin Stobbe, MD, FACNP
- Nuclear Imaging & Therapy Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- G72604
- Practice address
- 6121 N Thesta St
Ste 207
Fresno, CA 93710-5294 - Phone
- (559) 449-2640
- Fax
- (559) 432-7020
- NPI assigned
- Jun 9, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | G72604 | CA | Primary |
Addresses
Primary practice location
6121 N Thesta St
Ste 207
Fresno, CA 93710-5294
Mailing address
6121 N Thesta St
Ste 207
Fresno, CA 93710-5294
Phone (559) 449-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G72604 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72604 | CA | MD | Nuclear Imaging & Therapy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcal Imaging | Current | Accepting new patients | |
| California Cancer Associates for Research and Excellence Inc | Past | Accepting new patients | |
| Santa Ana Tustin Radiology Medical Group | Past | Accepting new patients |
Locations
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
114 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 937-6100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Ccare
- Hematology & Oncology Physician
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- NPI 1083661607
-
- Diagnostic Radiology Physician
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- NPI 1972531036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306840137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 N THESTA ST",
"address_2": "STE 207",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105294",
"telephone_number": "559-449-2640",
"fax_number": "559-432-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6121 N THESTA ST",
"address_2": "STE 207",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105294",
"telephone_number": "559-449-2640",
"fax_number": "559-432-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOBBE",
"first_name": "DANIEL",
"middle_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "MD, FACNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "CA",
"license": "G72604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G72604",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.