Individual provider Active NPI

Gina Tobalina, MD

  • Family Medicine Physician
  • Folsom, CA
National Provider Identifier
1376756833
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93320 Issued in CA
Practice address
2545 E Bidwell St Ste 110
Folsom, CA 95630-6443
Phone
(916) 817-4132
Fax
(916) 817-4148
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93320 CA Primary

Addresses

Primary practice location

2545 E Bidwell St Ste 110
Folsom, CA 95630-6443

Mailing address

2545 E Bidwell St Ste 110
Folsom, CA 95630-6443
Phone (916) 817-4132

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000709 CA Practitioner - Family Practice 4486747441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gina Tobalina MD IncGroup PAC ID 7012167281, 5 clinicians

Practice addresses (Care Compare)

1615 Creekside Dr
Suite 101
Folsom, CA 95630-3491
Phone (916) 803-2602

Hospital & facility affiliations

  • Healing Touch Home Health Care Inc Home health agency, Rancho Cordova, CA, CCN 553195
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Tobalina MD Inc Family Medicine CurrentSince Nov 1, 2012 Accepting new patients

Locations

2545 E Bidwell St
Ste 110
Folsom, CA 95630
Phone (916) 941-7362

1615 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 803-2602

Interoperability endpoints

  • Direct secure messaging: gtobalina7697@hpmg.direct-ci.net

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1376756833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306443",
            "telephone_number": "916-817-4132",
            "fax_number": "916-817-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306443",
            "telephone_number": "916-817-4132",
            "fax_number": "916-817-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBALINA",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.