Active NPI
Marc Capobianco, M.D.
- Psychiatry Physician
- Rancho Mirage, CA
National Provider Identifier
1750394656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- GO64840
- Practice address
- 39700 Bob Hope Dr
Suite 216
Rancho Mirage, CA 92270 - Phone
- (760) 837-8767
- NPI assigned
- Aug 14, 2006
- 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 | GO64840 | CA | Primary |
Addresses
Primary practice location
39700 Bob Hope Dr
Suite 216
Rancho Mirage, CA 92270
Mailing address
PO Box 34351
San Diego, CA 92163-4351
Phone (619) 537-9097
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64840 | CA | MD | General Practice Dentistry |
| GO64840 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1750394656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34351",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921634351",
"telephone_number": "619-537-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39700 BOB HOPE DR",
"address_2": "SUITE 216",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-837-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOBIANCO",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "GO64840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
- Cancer and Blood Consultants of the Desert Inc
- Christopher Cantilena, M.D.
- Grace Y Cao
- Thy Bich Khanh Cao, PHARMACIST
- Leona Capers-Crook, RN, BSN
- Leslie Lisa Cardenas
- Cardiothoracic Surgery Assoc of the Desert
- Cardiothoracic Surgery Associates of the Desert
- Lee H Cardon, CPO
- Caritas Medical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.