Ronald S Blustein, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A23195 Issued in CA

Practice address

41945 Big Bear Blvd, Suite 222
Lutheransocial Services
Big Bear Lake, CA 92315

Phone

(909) 866-5070

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ronald S Blustein Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment Care Compare group NPD
• Eastern Plumas Health Care District

  • Critical Access Hospital
  • Portola, CA
  • NPI 1245236850
  Medicare reassignment NPD
• Hisham Soliman MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080

  Psychiatry

  Medicare reassignment NPD
• Parish Health and Wellness, Inc.

  • Mental Health Counselor
  • Red Bluff, CA
  • NPI 1215472428
  Medicare reassignment
• Eastern Plumas Health Care Home Health

  • Home Health Agency
  • Portola, CA
  • NPI 1043216849
  NPD
• Telecare Corporation

  • Health Maintenance Organization
  • San Bernardino, CA
  • NPI 1770741282
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1023129335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BECKENHAM LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296096038",
            "telephone_number": "760-641-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD, SUITE 222",
            "address_2": "LUTHERANSOCIAL SERVICES",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTEIN",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A23195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1023129335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "BLUSTEIN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Big Bear Pharmacy
• Big Bear Urgent Care Inc
• River Bilton
• Brian C. Binnie
• BK Surgical Inc
• Peter S. Boss, M.D.
• Linda Bracken
• Robin Ann Bradley, P.H.D
• Carly Anne Bronson, R.N., NP
• Jaimi Lynaire Brown

• Psychiatry Physician in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.