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1164428082

NPI Code Detail

MEDICARE: MATTHEW BOBINSKI MD

MEDICARE: MATTHEW BOBINSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	A87311	CA
2	2085N0700X	Neuroradiology Physician	A87311	CA
3	2085N0904X	Nuclear Radiology Physician	A87311	CA
4	2085R0202X	Diagnostic Radiology Physician	A87311	CA
5	2085R0203X	Therapeutic Radiology Physician	A87311	CA
6	2085R0204X	Vascular & Interventional Radiology Physician	A87311	CA
7	2085R0205X	Radiological Physics Physician	A87311	CA
8	2085U0001X	Diagnostic Ultrasound Physician	A87311	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164428082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW BOBINSKI MD

Provider Business Mailing Address
First Line	:	4860 Y ST
Second Line	:	#3100-ACC
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2307
Country	:	US
Telephone Number	:	916-734-3606
Fax Number	:	916-734-8490

Provider Business Practice Location Address
First Line	:	2315 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2201
Country	:	US
Telephone Number	:	916-734-3606
Fax Number	:	916-734-8490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	05/29/2008

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Directions to “ MATTHEW BOBINSKI MD” Practice Location

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