Individual provider Active NPI

Arnold J Blustein, M.D.

  • Pediatrics Physician
  • San Leandro, CA
National Provider Identifier
1114989951
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G33522 Issued in CA
Practice address
1235 Harrison St
San Leandro, CA 94577-4515
Phone
(510) 352-2425
Fax
(510) 352-6273
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G33522 CA Primary

Addresses

Primary practice location

1235 Harrison St
San Leandro, CA 94577-4515

Mailing address

1235 Harrison St
San Leandro, CA 94577-4515
Phone (510) 352-2425

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209002593 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1759682131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G33522CAMDPediatrics Physician
33522CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Arnold J. Blustein, MD, Inc. Pediatrics Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Organizations & group practices 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114989951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 HARRISON ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774515",
            "telephone_number": "510-352-2425",
            "fax_number": "510-352-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 HARRISON ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774515",
            "telephone_number": "510-352-2425",
            "fax_number": "510-352-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTEIN",
        "first_name": "ARNOLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G33522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.