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CAPITAL OB/GYN, INC.
NPI 1730136680
Obstetrics & Gynecology in Sacramento, CA

Active since May 27, 2006CLIA Certified · 4 labs
77 CADILLAC DR, SUITE 230, SACRAMENTO, CA 95825(916) 920-2082(916) 920-1430 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Capital Ob/gyn, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPITAL OB/GYN, INC. (NPI 1730136680) is a healthcare organization registered as an obstetrics & gynecology in Sacramento, California and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates and lists Bruce Alan Bob, Vice President, as its authorized official.

NPPES Registry Identity

NPI1730136680
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCAPITAL OB/GYN, INC.
Location Address77 CADILLAC DR, SUITE 230Sacramento, CA 95825-5453
Mailing Address77 Cadillac Dr, Suite 230Sacramento, CA 95825-5453 · (916) 920-2082 · Fax (916) 920-1430
Phone(916) 920-2082
Fax(916) 920-1430
Organization SubpartNo
Authorized OfficialBruce Alan BobVice President · (916) 920-2109
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 2, 2011
✔ NPI 1730136680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
77 CADILLAC DR, Sacramento, CA 95825
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Other Identifiers 1

MedicaidGR0101650CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital Ob/gyn, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Capital Ob/Gyn, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Obstetrics/Gynecology10
Nurse Practitioner3
Certified Nurse Midwife (CNM)1

Clinicians, nearest first (14)

Holly Bracy, MD
Obstetrics/Gynecology
NPI 1205140480
77 CADILLAC DR STE 230
Sacramento, CA 95825
(916) 920-2082
✔ PECOS✔ Accepts MedicareSame address
Tanya Maagdenberg, M.D.
Obstetrics/Gynecology
NPI 1093762833
77 CADILLAC DR SUITE 230
Sacramento, CA 95825
(916) 920-2082
✔ PECOS✔ Accepts MedicareSame address
Thomas Melchione, M.D.
Obstetrics/Gynecology
NPI 1558338525
77 CADILLAC DR SUITE 230
Sacramento, CA 95825
(916) 920-2082
✔ PECOS✔ Accepts MedicareSame address
Joanna Wong, M.D. M.P.H.
Obstetrics/Gynecology
NPI 1841723863
77 CADILLAC DR STE 230
Sacramento, CA 95825
(916) 920-2082
✔ PECOS✔ Accepts MedicareSame address
Wilfredo Ramos, M.D.
Obstetrics/Gynecology
NPI 1285640433
5301 F ST SUITE 210
Sacramento, CA 95819
(916) 453-3440
✔ PECOS✔ Accepts Medicare1.3 mi
Christine Grisbach Smith, RNP
Nurse Practitioner
NPI 1316058662
1125 10TH ST
Sacramento, CA 95814
(916) 444-7966
✔ PECOS4.1 mi
Monalisa Lafountain-Rivera, RN, MSN, FNP
Nurse Practitioner
NPI 1215164645
1125 10TH ST
Sacramento, CA 95814
(916) 444-7966
✔ PECOS4.1 mi
Michelle Henschel, NP
Certified Nurse Midwife (CNM)
NPI 1578040531
2828 MILLS PARK DR STE E
Rancho Cordova, CA 95670
(916) 243-0821
✔ PECOS6.7 mi
Maria Kronen, MD
Obstetrics/Gynecology
NPI 1043758923
7500 HOSPITAL DR
Sacramento, CA 95823
(916) 423-6021
✔ PECOS✔ Accepts Medicare7.5 mi
Deirdre Kato, MD
Obstetrics/Gynecology
NPI 1205904646
8120 TIMBERLAKE WAY STE 102
Sacramento, CA 95823
(916) 681-6102
✔ PECOS✔ Accepts Medicare7.7 mi
Penny Larson, M.D.
Obstetrics/Gynecology
NPI 1528057213
12646 THORNBERG WAY
Rancho Cordova, CA 95742
(916) 238-6070
✔ PECOS✔ Accepts Medicare12 mi
Melinda Reid, FNP
Nurse Practitioner
NPI 1366025850
2500 MERCED ST
San Leandro, CA 94577
(510) 454-1000
✔ PECOS72 mi
Jessica Chandler, D.O..
Obstetrics/Gynecology
NPI 1407149339
4801 ALBERTA AVE C-250
El Paso, TX 79905
(915) 215-5000
✔ PECOS967 mi
Rafael Unda Rivera, M.D.
Obstetrics/Gynecology
NPI 1700037892
2116 CRAIG RD
Eau Claire, WI 54701
(715) 858-4646
✔ PECOS✔ Accepts Medicare1,595 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0698888

Capital Ob/Gyn Inc · Sacramento, CA
Active · expires Aug 31, 2028
CLIA Number05D0698888
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBruce A. Bob
Laboratory Phone(916) 920-2082
Laboratory LocationCapital Ob/Gyn Inc77 Cadillac Dr 230, Sacramento, CA 95825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D1088713

Capital Ob/Gyn · West Sacramento, CA
Active · expires Sep 1, 2028
CLIA Number05D1088713
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2026
Certificate Expiration DateSeptember 1, 2028
Laboratory DirectorThomas E. Melchione, MD
Laboratory Phone(916) 920-2082
Laboratory LocationCapital Ob/Gyn2101 Stone Blvd, Suite 110, West Sacramento, CA 95691
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2302459

Capital Ob/Gyn, Inc · Sacramento, CA
Active · expires Apr 9, 2028
CLIA Number05D2302459
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorThomas E. Melchione
Laboratory Phone(916) 920-2082
Laboratory LocationCapital Ob/Gyn, Inc2901 K Street Suite 209, Sacramento, CA 95816
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2068145

Capital Ob/Gyn, Inc · Sacramento, CA
Active · expires Oct 28, 2027
CLIA Number05D2068145
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorBruce Bob, MD
Laboratory Phone(916) 920-2082
Laboratory LocationCapital Ob/Gyn, Inc8120 Timberlake Way, 201, Sacramento, CA 95823
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capital Ob/Gyn, Inc.'s NPI number?

The NPI number for Capital Ob/Gyn, Inc. is 1730136680. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Capital Ob/Gyn, Inc. located?

Capital Ob/Gyn, Inc. is located at 77 Cadillac Dr Suite 230, Sacramento, CA 95825. The listed phone number is (916) 920-2082.

What is Capital Ob/Gyn, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Capital Ob/Gyn, Inc. enrolled in Medicare?

Yes. Capital Ob/Gyn, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital Ob/Gyn, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Capital Ob/Gyn, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (10), Nurse Practitioner (3) and Certified Nurse Midwife (CNM) (1). Of these, 4 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Capital Ob/Gyn, Inc. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Capital Ob/Gyn, Inc. was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.