Active NPI
Francis Joseph Capobianco Jr., M.D.
- Psychiatry Physician
- Roseville, CA
National Provider Identifier
1588770580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G36219
- Practice address
- 2412 Professional Dr
Roseville, CA 95661-7788 - Phone
- (916) 774-7033
- Fax
- (916) 774-7034
- NPI assigned
- Aug 22, 2006
- Last updated
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G36219 | CA | Primary |
Addresses
Primary practice location
2412 Professional Dr
Roseville, CA 95661-7788
Mailing address
2412 Professional Dr
Roseville, CA 95661-7773
Phone (916) 774-7033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00362190 | Other | CA | PIN |
| EO245A | Other | CA | MEDICARE PTAN EO245A |
Other names 1
- Dr. Frank Capobianco Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101111000001 | CA | Practitioner - Psychiatry | 2769677145 | Practice locations: Roseville, CA |
| I20230217000847 | WA | Practitioner - Psychiatry | 2769677145 | Practice locations: Bellingham, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2412 Professional Dr
Roseville, CA 95661-7773
Phone (916) 774-7033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36219 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1588770580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 PROFESSIONAL DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617773",
"telephone_number": "916-774-7033",
"fax_number": "916-774-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 PROFESSIONAL DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617788",
"telephone_number": "916-774-7033",
"fax_number": "916-774-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOBIANCO",
"first_name": "FRANCIS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G36219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "00362190",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN EO245A",
"identifier": "EO245A",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANK",
"last_name": "CAPOBIANCO",
"prefix": "DR.",
"suffix": "JR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.