Active NPI
Dan Blechman MD Inc
- Anesthesiology Physician
- Encino, CA
National Provider Identifier
1003844051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DAN BLECHMAN MD INC
- Practice address
- 5400 Balboa Blvd
#111
Encino, CA 91316-1502 - Phone
- (818) 784-8975
- Fax
- (818) 784-7467
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dan Blechman, MD
- Title
- President
- Phone
- (818) 784-8975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5400 Balboa Blvd
#111
Encino, CA 91316-1502
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C315450 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1003844051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "#111",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-784-8975",
"fax_number": "818-784-7467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN BLECHMAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "BLECHMAN",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-784-8975",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C315450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.