Provider Demographics
NPI:1083024699
Name:BOBIS, SHEILA ANNE P (PA-C)
Entity Type:Individual
Prefix:
First Name:SHEILA ANNE
Middle Name:P
Last Name:BOBIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4234 RIVERWALK PKWY
Mailing Address - Street 2:STE 280
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3370
Mailing Address - Country:US
Mailing Address - Phone:951-796-7579
Mailing Address - Fax:
Practice Address - Street 1:4234 RIVERWALK PKWY STE 280
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3370
Practice Address - Country:US
Practice Address - Phone:951-785-7190
Practice Address - Fax:951-688-7246
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51545363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant