Active NPI
Donnis S Hobson, M.D.
- Plastic Surgery Physician
- Oakland, CA
National Provider Identifier
1912944802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G31452
- Practice address
- 365 Hawthorne Ave
Suite 202
Oakland, CA 94609 - Phone
- (510) 419-0211
- Fax
- (510) 419-0140
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G31452 | CA | Primary |
Addresses
Primary practice location
365 Hawthorne Ave
Suite 202
Oakland, CA 94609
Mailing address
365 Hawthorne Ave
Suite 202
Oakland, CA 94609
Phone (510) 419-0211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG314520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31452 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1912944802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE",
"address_2": "SUITE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94609",
"telephone_number": "510-419-0211",
"fax_number": "510-419-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE",
"address_2": "SUITE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94609",
"telephone_number": "510-419-0211",
"fax_number": "510-419-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBSON",
"first_name": "DONNIS",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G31452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG314520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.