Individual provider Active NPI

Joseph P Lobaccaro Jr., NP

  • Registered Nurse
  • Rocklin, CA
National Provider Identifier
1992866826
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN290794 Issued in CA
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

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 32 clinicians

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 Hospital, Marysville, CA, CCN 050133

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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5688CAMDMental Health Counselor
RN290794CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare CurrentSince Feb 12, 2025 Accepting new patients
Rocklin Family Practice and Sports Medicine CurrentSince Aug 1, 2010 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

  • Direct secure messaging: communityhealthworker.p1@direct.peachtreehealth.nextgenshare.com
  • Direct secure messaging: casemanager.p1@direct.peachtreehealth.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.