Michelle Rose Bobrow, RAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

390017BN Issued in CA

Practice address

3422 W Hammer Lane
Suite a, B, C
Stockton, CA 95219-5493

Phone

(209) 888-5088

Fax

(209) 932-9446

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1427676790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W WEBER AVE STE 129",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033146",
            "telephone_number": "209-451-3628",
            "fax_number": "209-932-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 W HAMMER LANE",
            "address_2": "SUITE A, B, C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952195493",
            "telephone_number": "209-888-5088",
            "fax_number": "209-932-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "credential": "RAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "390017BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Fei Blum
• David Isaiah Boatwright III
• John Bob, D.P.T.
• Jesse Aaron Bober
• Monica Yeung Bobino, NP-C
• Cathleen Erica Bocca
• Gianna Nicole Boccia
• Gerald N Bock, MD
• Neima Bockari
• Arudra Bodepudi, MD

• Addiction (Substance Use Disorder) Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.