Active NPI
Bobbie Jo Morse
- Community Health Worker
- Sacramento, CA
National Provider Identifier
1659869030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- S8R4J2N7
- Practice address
- 4600 Broadway Ste 1300
Sacramento, CA 95820-1527 - Phone
- (916) 874-9823
- Fax
- (916) 854-9614
- NPI assigned
- May 1, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | S8R4J2N7 | CA | Primary |
Addresses
Primary practice location
4600 Broadway Ste 1300
Sacramento, CA 95820-1527
Mailing address
8225 Mariners Dr Apt 165
Stockton, CA 95219-4572
Phone (919) 919-6701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94-6000529 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S8R4J2N7 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1659869030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 MARINERS DR APT 165",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952194572",
"telephone_number": "919-919-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BROADWAY STE 1300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201527",
"telephone_number": "916-874-9823",
"fax_number": "916-854-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "BOBBIE",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "S8R4J2N7",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94-6000529",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.