DWAINE A BOBO (NPI# 1730267642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730267642 |
| Entity Type | Individual |
| Full Name | DWAINE A BOBO |
| Credential | MD |
| Practice Address |
7500 Hospital Dr Sacramento CA 95823-5403 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 2099567725 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A67673 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A676730 | 05 |
| Street Address |
7500 HOSPITAL DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235699109 | Lauren E Keaton | Dietitian, Registered | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2019-03-25 |
| 1124519343 | Arlene Elizabeth Reyna | Student in an Organized Health Care Education/Training Program | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2018-05-23 |
| 1184115628 | Corwin Eder | Student in an Organized Health Care Education/Training Program | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2018-05-21 |
| 1578090254 | Jeremy Gerber | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5477 | 2017-05-12 |
| 1245782077 | Michelle Smiley | Speech-Language Pathologist | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-10-27 |
| 1285184929 | Glenn Robert Gookin | Family Medicine | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-10-06 |
| 1861949562 | Juliyana Fulton | Dietitian, Registered | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-09-09 |
| 1306297122 | Douglas Borgman | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-06-22 |
| 1467809913 | Ayako Parker | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-05-14 |
| 1578921425 | Nissma Mahmoud Eldeeb Kinsey | Physician Assistant | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432319 | Annette A Keochekian Md Inc | Anesthesiology | 2288 Auburn Blvd Ste 201, Sacramento, CA 95821-1620 | 2018-10-08 |
| 1881044857 | Karl Kristiansen | Anesthesiology | Department of Anesthesiology and Pain Medicine, 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2016-06-20 |
| 1174949218 | Eugene Andre Mansour | Anesthesiology | 4150 V St Street, Suite 1200, Sacramento, CA 95817-1460 | 2014-03-13 |
| 1912246281 | Cristina Chandler | Anesthesiology | 4150 V St.ucdmc Dept. of Anesthesiology & Pain Medicine, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2013-02-06 |
| 1356619936 | Rory Scott Jaffe | Anesthesiology | 1215 K St, Ste 800, Sacramento, CA 95814-3945 | 2011-12-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1720374622 | Tyler Bevins | Anesthesiology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 | 2011-06-20 |
| 1396064408 | Charles John De Mesa | Anesthesiology | 4860 Y St Ste 3020, Sacramento, CA 95817-2307 | 2010-05-28 |
| 1619101680 | Niraj Niranjan | Anesthesiology | 4150 V Street Pssb Suite 1200, Ucdmc Dept. of Anesthesiology & Pain Medicine, Sacramento, CA 95817-1460 | 2009-05-06 |
| 1811137144 | Marissa Gomez Vadi | Anesthesiology | Patient Support Services Bldg, 4150 V Street, Suite 1200, Sacramento, CA 95817 | 2009-02-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on DWAINE A BOBO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.