Individual provider Active NPI

Monica Yeung Bobino, NP-C

  • Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1881276210
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017079 Issued in CA
Practice address
2333 W March LN Ste a-1
Stockton, CA 95207-5263
Phone
(209) 475-8144
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 95017079 CA Primary

Addresses

Primary practice location

2333 W March LN Ste a-1
Stockton, CA 95207-5263

Mailing address

1995 Foxwood CT
Tracy, CA 95376-4388
Phone (510) 200-3124

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922002139 CA Practitioner - Nurse Practitioner 5597140863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
March Lane Medical Clinic Inc Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Geriatrics Long Term Care Medical Corporation Single Specialty PastSince Jul 1, 2022 Accepting new patients

Locations

2333 W March Ln
Ste A1
Stockton, CA 95207
Phone (209) 462-9100

7743 West Ln
Ste A1
Stockton, CA 95210
Phone (209) 477-4380

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1881276210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 FOXWOOD CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764388",
            "telephone_number": "510-200-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W MARCH LN STE A-1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075263",
            "telephone_number": "209-475-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBINO",
        "first_name": "MONICA",
        "middle_name": "YEUNG",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.