Mitchell Allen Nobriga, STUDENT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

534 Lefevre Dr
Folsom, CA 95630-6193

Phone

(916) 947-3262

NPI assigned

Jun 8, 2022

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Clinic Services of California Medical Group Inc

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1578958450
  Medicare reassignment
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1457080061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 LEFEVRE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306193",
            "telephone_number": "916-947-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LEFEVRE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306193",
            "telephone_number": "916-947-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBRIGA",
        "first_name": "MITCHELL",
        "middle_name": "ALLEN",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Mackenzie Nickelson
• Alaina Rae Niebuhr, FNP-C
• Ifeatu Chikaodili Nnebe, DDS
• David No, MD, PHD
• Rana Noah
• Tammy Lyn Noel, LMFT
• Brad Noggle
• Saiqua Nooreen, M.D.
• Norcal Neurostimulation
• Norcal Snore and Sleep Solutions Inc.

• Physician Assistant in Folsom, CA
• Providers in Folsom, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.