Individual provider Active NPI

Denise Jacqueline Bobbiti, FNP

  • Family Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1376186627
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012161 Issued in CA
Practice address
301 W Huntington Dr Ste 327
Arcadia, CA 91007-1501
Phone
(626) 447-8129
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012161 CA Primary

Addresses

Primary practice location

301 W Huntington Dr Ste 327
Arcadia, CA 91007-1501

Mailing address

13514 Park Centre St
Baldwin Park, CA 91706-2265
Phone (626) 827-4614

Other names 1

  • Denise Jacqueline Moreno Former name

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
I20191227001426 CA Practitioner - Nurse Practitioner 0547694515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radhika Tulpule MD IncGroup PAC ID 2668480799, 3 clinicians

Practice addresses (Care Compare)

110 N 4TH Ave
Covina, CA 91723-1825
Phone (626) 859-6400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radhika Tulpule MD Inc. CurrentSince Nov 1, 2019 Accepting new patients
Narendranath a Reddy,M.D. Inc. CurrentSince Oct 20, 2019 Accepting new patients

Locations

301 W Huntington Dr
Ste 327
Arcadia, CA 91007
Phone (626) 447-8129

110 N 4th Ave
Covina, CA 91723
Phone (626) 859-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1376186627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13514 PARK CENTRE ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062265",
            "telephone_number": "626-827-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 327",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071501",
            "telephone_number": "626-447-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITI",
        "first_name": "DENISE",
        "middle_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MORENO",
            "middle_name": "JACQUELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.