ALEXANDER DOMINIC JOBRACK, D.O, MPH — NPI 1922488360 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine in BEALE AFB, CA)

CMS-1500 Box 24J / 33a • NPI

1922488360

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2083A0100X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine

Box 32 Service Location & ZIP+4

15301 WARREN SHINGLE RD, BEALE AFB, CA, 95903-1905

✓ 9-Digit EDI 837 ZIP+4 (95903-1905)

Practice Phone & Referral Fax

(530) 634-4662

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922488360 (ALEXANDER DOMINIC JOBRACK, D.O, MPH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922488360` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALEXANDER DOMINIC JOBRACK, D.O, MPH
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine NUCC Code: `2083A0100X` (Preventive Medicine, Aerospace Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15301 WARREN SHINGLE RD, BEALE AFB, CA, 95903-1905
Practice Telephone / Fax	Tel: (530) 634-4662
Administrative Mailing Address	15301 WARREN SHINGLE RD, BEALE AFB, CA, 95903-1905
Enumeration & Last Sync	Enumerated: 2015-06-01 \| CMS Record Updated: 2022-08-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15301 WARREN SHINGLE RD, BEALE AFB, CA, 95903-1905

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Plain-English Taxonomy & CMS Crosswalk (2083A0100X)

What Does Taxonomy Code 2083A0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083A0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Aerospace Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALEXANDER DOMINIC JOBRACK, D.O, MPH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2083P0500X` — Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Preventive Medicine — Occupational Environmental Medicine	State: NE \| License: `1591` \| Primary: Secondary
`2083A0100X` — Preventive Medicine, Aerospace Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine	State: NE \| License: `1591` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALEXANDER DOMINIC JOBRACK, D.O, MPH (NPI #1922488360)