DR. JERRY C BOBO (NPI# 1194836429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194836429 |
| Entity Type | Individual |
| Full Name | DR. JERRY C BOBO |
| Credential | M.D. |
| Practice Address |
474 W Vermont Ave Ste 104 Escondido CA 92025-6584 |
| Practice Telephone | 7604329884 |
| Practice Fax Number | 7604329953 |
| Mailing Telephone | 7604329884 |
| Mailing Fax Number | 7604329953 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G084025 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
474 W VERMONT AVE STE 104 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955256 | Michael Luis Hernandez Jr. | Student in an Organized Health Care Education/Training Program | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2020-09-08 |
| 1568096527 | Keri Reiko Fujiwara Robinson | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2020-02-28 |
| 1205477551 | Michael Pham | Pharmacist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-10-07 |
| 1548817364 | Melissa J Greenberg | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-08-26 |
| 1316508849 | Vanessa Marie Sanchez | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-06-25 |
| 1053881508 | Efrain Eliseo Quintero | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-11-27 |
| 1235613787 | Giovanni Baez | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-09-20 |
| 1689155921 | Tierra J Allen | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-08-24 |
| 1588145262 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-08-22 |
| 1235632829 | Kiloren Lorraine Woolley | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336393578 | Michael William Fitzgerald | Psychiatry & Neurology | 474 W Vermont Ave Suite 100, Escondido, CA 92025 | 2008-11-14 |
| 1912079518 | Thomas Grant Carlton | Psychiatry & Neurology | 550 W Washington Ave, Escondido, CA 92025 | 2006-11-15 |
| 1366498446 | Marina Katz | Psychiatry & Neurology | 221 W Crest St, Suite 102, Escondido, CA 92025-1739 | 2006-05-26 |
| 1265426852 | Julie Marie Wilcox | Psychiatry & Neurology | 125 W Mission Ave, Escondido, CA 92025-1720 | 2005-09-09 |
| 1033565494 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2016-05-04 |
| 1497100499 | Cep America - Psychiatry PC | Psychiatry & Neurology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2016-04-27 |
| 1558603837 | Suesan Pedersen | Psychiatry & Neurology | 401 E Valley Pkwy, Escondido, CA 92025-3317 | 2013-03-25 |
| 1851505531 | Amy Dewar | Psychiatry & Neurology | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2007-05-10 |
| 1881714954 | Douglas Robert Conte | Psychiatry & Neurology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2007-03-30 |
| 1295847234 | Psychiatric Associates North County Medical Group, Inc. | Psychiatry & Neurology | 125 S Grape St, Escondido, CA 92025-4406 | 2006-08-31 |
| Find all providers in ESCONDIDO | ||||
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| 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.