Individual ProviderMayra L BobadillaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1565 Exposition Blvd Ste 120, Sacramento, CA 95815-5196(916) 297-6257PECOS EnrollmentBased on the most recent information from CMS, provider Mayra L Bobadilla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891975199Provider TypeIndividualFull NameBobadilla, Mayra LCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date11/5/2007Last Updated11/2/2024Contact InformationPractice LocationPractice Address1565 Exposition Blvd Ste 120, Sacramento, CA 95815-5196Phone(916) 297-6257FaxUnlisted FaxMailing LocationMailing Address1565 Exposition Blvd Ste 120, Sacramento, CA 95815-5196Phone(916) 297-6257FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA19446California