Active NPI
Joseph P Lobaccaro Jr., NP
- Registered Nurse
- Rocklin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN290794
- Practice address
- 5912 Blackstone Dr
Rocklin, CA 95765-4901 - Phone
- (916) 524-7631
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN290794 | CA | Primary |
| Nurse Practitioner | 363L00000X | 5688 | CA |
Addresses
Primary practice location
5912 Blackstone Dr
Rocklin, CA 95765-4901
Mailing address
5912 Blackstone Dr
Rocklin, CA 95765-4901
Phone (916) 524-7631
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000886 | CA | Practitioner - Nurse Practitioner | 9032303433 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peach Tree Healthcare
Practice addresses (Care Compare)
1114 Yuba St
Suite 220
Marysville, CA 95901-4838
120 5TH St
RM 1
Marysville, CA 95901-5734
Phone (530) 749-3242
5600 Lindhurst Ave
Marysville, CA 95901-7109
Phone (530) 749-3242
5730 Packard Ave
Suite 500
Marysville, CA 95901-7119
Phone 53074932421124
Hospital & facility affiliations
- Adventist Health and Rideout
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5688 | CA | MD | Mental Health Counselor |
| RN290794 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Healthcare | Current | Accepting new patients | |
| Rocklin Family Practice and Sports Medicine | Current | Accepting new patients |
Locations
1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358
5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242
3104 Sunset Blvd
Ste 2B
Rocklin, CA 95677
Phone (916) 624-0300
Interoperability endpoints
- communityhealthworker.p1@direct.peachtreehealth.nextgenshare.com
- casemanager.p1@direct.peachtreehealth.nextgenshare.com
- joseph.lobaccaro.p1@direct.peachtreehealth.nextgenshare.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Olivehurst, CA
- NPI 1104526664
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1114643871
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1164886040
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1245043413
-
- Federally Qualified Health Center (FQHC)
- Live Oak, CA
- NPI 1316096894
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1669152120
-
- Federally Qualified Health Center (FQHC)
- Yuba City, CA
- NPI 1841723327
-
- Federally Qualified Health Center (FQHC)
- Chico, CA
- NPI 1922598226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1992866826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 BLACKSTONE DR",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654901",
"telephone_number": "916-524-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 BLACKSTONE DR",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654901",
"telephone_number": "916-524-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBACCARO",
"first_name": "JOSEPH",
"middle_name": "P",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN290794",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5688",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.