Active NPI
Richard I Blum, M.D.
- Cardiovascular Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G53758
- Practice address
- 550 Washington St Ste 641
San Diego, CA 92103-2229 - Phone
- (619) 296-3888
- Fax
- (619) 296-3898
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G53758 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | G53758 | CA | Primary |
Addresses
Primary practice location
550 Washington St Ste 641
San Diego, CA 92103-2229
Mailing address
1868 Altamira PL
San Diego, CA 92103-1202
Phone (619) 890-8107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G537580 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53758 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Mercy Physicians Cardiology Medical Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients |
Locations
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
4065 3rd Ave
Ste 101
San Diego, CA 92103
Phone (619) 296-3800
4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545
Interoperability endpoints
- rblum27406@scrippshlth.medalliesdirect.net
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1477644474
Cardiovascular Disease
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1043310030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1868 ALTAMIRA PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031202",
"telephone_number": "619-890-8107",
"fax_number": "619-296-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WASHINGTON ST STE 641",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032229",
"telephone_number": "619-296-3888",
"fax_number": "619-296-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "RICHARD",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G53758",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G53758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G537580",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.