NPIMap

Organization Active NPI

Calvin J. Blasco

  • Clinic/Center
  • South Pasadena, CA
National Provider Identifier
1154877587
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
720477 Issued in CA
Legal business name
CALVIN J. BLASCO
Practice address
1720 Ellincourt Dr
Apt. 10
South Pasadena, CA 91030-2110
Phone
(760) 880-2854
Fax
(619) 878-2996
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Mr. Calvin John Blasco, CRNANPI 1275078958
Title
Crna
Phone
(760) 880-2854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 720477 CA Primary

Addresses

Primary practice location

1720 Ellincourt Dr
Apt. 10
South Pasadena, CA 91030-2110

Mailing address

1720 Ellincourt Dr
Apt. 10
South Pasadena, CA 91030-2110
Phone (760) 880-2854

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1154877587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ELLINCOURT DR",
            "address_2": "APT. 10",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302110",
            "telephone_number": "760-880-2854",
            "fax_number": "619-878-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 ELLINCOURT DR",
            "address_2": "APT. 10",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302110",
            "telephone_number": "760-880-2854",
            "fax_number": "619-878-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN J. BLASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BLASCO",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "760-880-2854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "720477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.