Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pratyush Bobba

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093378549

Pratyush Bobba is a Family Practice in Chino, California. Qualified in 2013, 13 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5451 Walnut Ave
Chino, CA 91710-2609
Phone: (909) 464-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61436847 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093378549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address5451 Walnut Ave, Chino, CA 91710-2609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Chino