George G Bocobo, MD
Individual provider Active NPI Diagnostic Radiology Physician · Westchester, PA
NPI 1760428221 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1760428221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- M-2052 (GU)
- Practice address
- 701 E Marshall Street
Westchester, PA 19380 - Phone
- (610) 431-5131
- Fax
- (215) 945-6809
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- David C P Chen, M.D., Inc
Practice addresses (Care Compare)
1129 S San Gabriel Blvd
San Gabriel, CA 91776-3114
Phone (626) 287-6746
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GU, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161230000892 | GU | Practitioner - Diagnostic Radiology | 4183653850 | Reassigns benefits to 4 organizations |
| I20201025000059 | CA | Practitioner - Diagnostic Radiology | 4183653850 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-2052 | GU | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ybl PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| David C P Chen, M.D., Inc | Current |
Accepting new patients | |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| KC Tan, M.D. Medical Corporation | Diagnostic Radiology | Current |
Accepting new patients |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients | |
| Univ of Penn Community Radiology | Diagnostic Radiology | Past | Accepting new patients |
| Usc University Hospital, Inc. | Past |
Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients |
Locations
1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
208 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 287-6746
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
1129 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 282-2802
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
643 Chalan San Antonio
Ste 109
Tamuning, GU 96913
Phone (671) 648-6390
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD042554E | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MTL-2016-058 | GU | |
| Nuclear Radiology Physician | 2085N0904X | MD042554E | PA | |
| Nuclear Radiology Physician | 2085N0904X | M-2052 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | M-2052 | GU | Yes |
Addresses
Primary practice location
701 E Marshall Street
Westchester, PA 19380
Mailing address
701 E Marshall St
West Chester, PA 19380-4412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018825970006 | Medicaid | PA |
Other providers in Westchester, PA
All providers in Westchester, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.