JOSIPA BUBALO MD
NPI 1760681258
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Josipa Bubalo's NPI number?

The NPI number for Josipa Bubalo is 1760681258. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Josipa Bubalo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Josipa Bubalo was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment

3324 CHANATE RD, SANTA ROSA, CA 95404(707) 576-4070(707) 576-4087 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Josipa Bubalo Md NPPES

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

JOSIPA BUBALO MD (NPI 1760681258) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1760681258

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJOSIPA BUBALOCredential: MD

Location Address3324 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address18396 Mill CtSaratoga, CA 95070-3058 · (707) 206-1356

Phone(707) 576-4070

Fax(707) 576-4087

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJuly 13, 2007

Last NPPES UpdateDecember 14, 2021

✔ NPI 1760681258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3324 CHANATE RD, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Josipa Bubalo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577623289

PECOS Enrollment IDI20081125000164

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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