Individual provider Active NPI

Daniel Erwin Stobbe, MD, FACNP

  • Nuclear Imaging & Therapy Physician
  • Fresno, CA
National Provider Identifier
1306840137
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
G72604 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G72604OtherCAMEDICAL 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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72604CAMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.