NPIMap

Organization Active NPI

Anthony Bledin M.D. Inc

  • Clinical Medical Laboratory
  • Thousand Oaks, CA
National Provider Identifier
1003593369
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANTHONY BLEDIN M.D. INC
Practice address
375 Rolling Oaks Dr Ste 130
Thousand Oaks, CA 91361-1023
Phone
(805) 371-9100
Fax
(805) 367-8222
NPI assigned
Jun 29, 2023
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Anthony Bledin MD Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony G Bledin, M.D.NPI 1588687115
Title
Radiologist
Phone
(805) 988-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

375 Rolling Oaks Dr Ste 130
Thousand Oaks, CA 91361-1023

Mailing address

1851 Holser Walk Ste 220
Oxnard, CA 93036-2626
Phone (805) 988-1111

Other identifiers 1

IdentifierTypeStateIssuer
00C421240MedicaidCA

Other names 1

  • RADDICO THOUSAND OAKS Doing business as

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1003593369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK STE 220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-988-1111",
            "fax_number": "805-988-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR STE 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611023",
            "telephone_number": "805-371-9100",
            "fax_number": "805-367-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BLEDIN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-02-19",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BLEDIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "805-988-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C421240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADDICO THOUSAND OAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RADDICO THOUSAND OAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.