Active NPI
Gina Tobalina MD Inc
- Family Medicine Physician
- Folsom, CA
National Provider Identifier
1316206071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A93320
- Legal business name
- GINA TOBALINA MD INC
- Practice address
- 2545 East Bidwell St
Suite 110
Folsom, CA 95630-6443 - Phone
- (916) 812-8196
- Fax
- (916) 509-9653
- NPI assigned
- May 15, 2012
- Last updated
- Nov 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina Tobalina, MD
- Title
- President
- Phone
- (916) 803-2602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A93320 | CA | Primary |
Addresses
Primary practice location
2545 East Bidwell St
Suite 110
Folsom, CA 95630-6443
Mailing address
2545 East Bidwell St
Suite 110
Folsom, CA 95630-6443
Phone (916) 803-2602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1615 Creekside Dr
Folsom, CA 95630
Phone (916) 817-4132
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Folsom, CA
- NPI 1376756833
-
- Nurse Practitioner
- Folsom, CA
- NPI 1053417329
-
- Family Medicine Physician
- Folsom, CA
- NPI 1538940374
-
- Physician Assistant
- Oakland, CA
- NPI 1790488302
-
- Medical Physician Assistant
- Granite Bay, CA
- NPI 1255670642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1316206071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 EAST BIDWELL ST",
"address_2": "SUITE 110",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306443",
"telephone_number": "916-803-2602",
"fax_number": "916-509-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 EAST BIDWELL ST",
"address_2": "SUITE 110",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306443",
"telephone_number": "916-812-8196",
"fax_number": "916-509-9653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GINA TOBALINA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "TOBALINA",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-803-2602",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A93320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.