Craig Bobson, M.D

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

GO50859 Issued in CA

Practice address

1140 Norman Dr
Suite 101
Manteca, CA 95336-5900

Phone

(209) 825-7748

NPI assigned

Oct 3, 2005

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shane Speirs MD PCGroup PAC ID 1355875741, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
• Infinity Care Services, Inc Home health agency, Stockton, CA, CCN 059217
• Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: craig.bobson.1@24378.direct.athenahealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell James Maccready Jr., MD

  • Internal Medicine Physician
  • Manteca, CA
  • NPI 1821593104

  CA

  Medicare reassignment

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.

• Shane Speirs MD PC

  • Multi-Specialty Clinic/Center
  • Rancho Mirage, CA
  • NPI 1750129672

  CA

  Medicare reassignment Care Compare group NPD
• Shane Speirs MD PC

  • Physical Medicine & Rehabilitation Physician
  • Placentia, CA
  • NPI 1831047471
  Care Compare group
• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Careone Home Health and Hospice, Inc.

  • Home Health Agency
  • Salida, CA
  • NPI 1972809838
  Care Compare affiliation
• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599

  Hospital

  Care Compare affiliation
• Infinity Care Services, Inc.

  • Home Health Agency
  • Stockton, CA
  • NPI 1104057991
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1790772986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR # 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "SUITE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBSON",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "GO50859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G508590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Biagorria
• Hai Bien
• Chakri Sanjeev Bilva
• Biosport Physical Therapy Inc
• Claudia Pogue Blick, N.P.
• Timiera Bolden
• Nina Chelle Boling, BS, CMA
• Iliana Bonilla
• Eunice Boo
• Jennifer Annette Bordenave, M.S.

• All providers in Manteca, CA
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.

Verify at the official NPI Registry.