Craig Bobson North Street Family Practice

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

CRAIG BOBSON NORTH STREET FAMILY PRACTICE

Practice address

1140 Norman Dr
Suite 101
Manteca, CA 95336-5955

Phone

(209) 825-7748

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Bobson, M.D.

Title

Owner

Phone

(209) 825-7748

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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
  NPD (past)
• Susan Nylen, NFP

  • Addiction Medicine (Family Medicine) Physician
  • Manteca, CA
  • NPI 1205823077
  NPD (past)
• Anil K Sain, MD

  • Internal Medicine Physician
  • Manteca, CA
  • NPI 1992791180
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1821286089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "SUITE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365955",
            "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": "953365955",
            "telephone_number": "209-825-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG BOBSON NORTH STREET FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BOBSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-825-7748",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ26104Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Kristin Cote, MA
• County of San Joaquin
• David Cox, D.C
• Robert Gregory Cox, LMFT
• Marina Roberta Crain, MS, CCC-SLP
• Robin E Crandall
• Mazie Cranfill
• Terry Lee Croasdale, M.D.
• John F Cruikshank III, MD

• Adult Medicine Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.