Manjula Bobbala M.D.,Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A 87444

Legal business name

MANJULA BOBBALA M.D.,INC

Practice address

1600 Creekside Dr
Suite # 3700
Folsom, CA 95630-3444

Phone

(916) 901-1455

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manjula Bobbala, M.D

Title

Physician

Phone

(916) 218-5618

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992853543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 SEBASTIAN WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613214",
            "telephone_number": "916-218-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "SUITE # 3700",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-901-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJULA BOBBALA M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBBALA",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-218-5618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": "A 87444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Magid, RN
• Lou Rose Malamug, M.D.
• Jacob Anthony Maldonado
• Bindiya Manalikuzhiyil, DDS
• Charisse Ann Florete Mandecote
• Jeffrey Mann, DO
• Jessica Mann, PT, DPT
• Sonia Mann, PH.D.
• Indrani Manne, DDS
• Brittaney Elaine Manocchio

• Primary Care Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.