NPIMap

Individual provider Active NPI

John C Blaney, M.D.

  • Surgery Physician
  • Templeton, CA
National Provider Identifier
1063594059
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C54710 Issued in CA
Practice address
292 Posada LN Ste C
Templeton, CA 93465-4054
Phone
(805) 434-3133
Fax
(805) 434-3850
NPI assigned
Oct 19, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M1521 TX
Surgery Physician 208600000X C54710 CA Primary

Addresses

Primary practice location

292 Posada LN Ste C
Templeton, CA 93465-4054

Mailing address

292 Posada LN Ste C
Templeton, CA 93465-4054
Phone (805) 434-3133

Other identifiers 1

IdentifierTypeStateIssuer
176563801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001702 CA Practitioner - General Surgery 5799719795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Surgeons of San Luis ObispoGroup PAC ID 7810949989, 10 clinicians

Practice addresses (Care Compare)

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

292 Posada LN
Suite C
Templeton, CA 93465-4054
Phone (805) 434-2253

300 Canal St
King City, CA 93930-3431
Phone (831) 385-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)33
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue63
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54710CAMDDentist
C54710CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Surgeons of San Luis Obispo Surgery CurrentSince Sep 12, 2011 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
East Texas Medical Center Athens Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Athens Surgical Assoc., P a Surgery Past Accepting new patients
Associated Surgeons of San Luis Obispo Surgery PastSince Sep 12, 2011 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

77 Casa St
Ste 103
Sn Luis Obisp, CA 93405
Phone (805) 544-8993

292 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 434-2253

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1294

Organizations & group practices 10

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1063594059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 POSADA LN STE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654054",
            "telephone_number": "805-434-3133",
            "fax_number": "805-434-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 POSADA LN STE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654054",
            "telephone_number": "805-434-3133",
            "fax_number": "805-434-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1521",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C54710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176563801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.