Active NPI
Lorna Blanco, M.D.
- Specialist
- San Marino, CA
National Provider Identifier
1093787178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A063801
- Practice address
- 375 Huntington Dr
Suite G
San Marino, CA 91108-2357 - Phone
- (626) 441-4231
- Fax
- (626) 441-0282
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A063801 | CA | Primary |
Addresses
Primary practice location
375 Huntington Dr
Suite G
San Marino, CA 91108-2357
Mailing address
133 N Altadena Dr
2ND Floor
Pasadena, CA 91107-7325
Phone (626) 397-8335
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101113000230 | CA | Practitioner - Internal Medicine | 6002001211 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A063801 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Huntington Medical Foundation | Current | Accepting new patients |
Locations
133 N Altadena Dr
Fl 2
Pasadena, CA 91107
Phone (626) 397-8335
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
375 Huntington Dr
Ste G
San Marino, CA 91108
Phone (626) 441-4231
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1093787178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 N ALTADENA DR",
"address_2": "2ND FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911077325",
"telephone_number": "626-397-8335",
"fax_number": "626-397-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 HUNTINGTON DR",
"address_2": "SUITE G",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082357",
"telephone_number": "626-441-4231",
"fax_number": "626-441-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "LORNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A063801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.