Palo Alto Perfusion Service

Primary specialty

PerfusionistTaxonomy code 242T00000X

Legal business name

PALO ALTO PERFUSION SERVICE

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(408) 202-5609

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya L Blodget, CCPNPI 1427724525

Title

President and Chief Perfusionist

Phone

(408) 202-5609

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Blodget, CCP

  • Perfusionist
  • Palo Alto, CA
  • NPI 1427724525
  NPD Authorized official

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1124630900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 MAURICIA AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516857",
            "telephone_number": "408-202-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "408-202-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO ALTO PERFUSION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "BLODGET",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF PERFUSIONIST",
        "authorized_official_telephone_number": "408-202-5609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palo Alto Psychology Technologies Inc
• Palo Alto Smart Therapy
• Palo Alto Surgery Center
• Palo Alto Therapy a Licensed Clinical Social Worker Corporation
• Palo Alto University

• Perfusionist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Perfusionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.