Mayra L Bobadilla, PA-C
Individual provider Active NPI Physician Assistant · Sacramento, CA
NPI 1891975199 · NPPES record last updated Nov 2, 2024
Key facts
- NPI
- 1891975199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA19446 (CA)
- Practice address
- 1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196 - Phone
- (916) 297-6257
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19446 | CA | MD | Acupuncturist |
| PA19446 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Diagnostic & Solutions, Inc. | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mayra.bobadilla.p1@direct.apdss.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19446 | CA | Yes |
Addresses
Primary practice location
1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196
Mailing address
1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196
Phone (916) 297-6257
Other providers in Sacramento, CA
- Jennette Boakes
- Nkechi Philomina Boate
- Bob Ghelfi MD PC
- Bruce Alan Bob
- Jennifer Bob
- Melina Monique Bobadilla
- Marie Bobbitt
- Lisa Ann Bober
- Margaret Bobinski
- Matthew Bobinski
All providers in Sacramento, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.