NPIMap

Organization Active NPI

Anthony Bledin M.D. Inc

Doing business as Sunset Diagnostic Radiology

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1174809693
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
C42124 Issued in CA
Legal business name
ANTHONY BLEDIN M.D. INC
Doing business as
Sunset Diagnostic Radiology
Practice address
9201 Sunset Blvd.
Suite M-150
Los Angeles, CA 90069-3701
Phone
(310) 288-0310
Fax
(310) 288-0311
NPI assigned
Oct 28, 2011
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Dr. Anthony G Bledin, M.D.NPI 1588687115
Title
Radiologist
Phone
(805) 988-1111

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
Clinical Medical Laboratory 291U00000X C42124 CA Primary

Addresses

Primary practice location

9201 Sunset Blvd.
Suite M-150
Los Angeles, CA 90069-3701

Mailing address

1851 Holser Walk Ste 220
Oxnard, CA 93036-2626
Phone (805) 988-1111

Other names 1

  • Sunset Diagnostic Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000478 CA Part B Supplier - Clinic/Group Practice 5890958110 Receives reassigned benefits from 1 practitioner
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Granada Hills, CA; Los Angeles, CA; Montebello, CA; Oxnard, CA; Westlake Village, CA; Woodland Hills, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1012674Anthony Martin Mills, MD Laboratory9201 Sunset Blvd Ste M135, West Hollywood, CA 90069AccreditationNov 10, 2026
05D2062983Anthony Martin Mills MD Inc- Research9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069Certificate of waiverJul 23, 2027
05D2089367Surgery on Sunset, Inc9201 W Sunset Blvd Ste GF-1a, West Hollywood, CA 90069Certificate of waiverJan 23, 2028
05D2314471Sunset Tower Surgery Center, LLC9201 Sunset Blvd Suite 405, Los Angeles, CA 90069Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Anthony Bledin MD Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9201 W Sunset Blvd
#150
West Hollywood, CA 90069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1174809693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK STE 220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-988-1111",
            "fax_number": "805-988-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SUNSET BLVD.",
            "address_2": "SUITE M-150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-288-0310",
            "fax_number": "310-288-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BLEDIN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2024-02-19",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BLEDIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "805-988-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "C42124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Diagnostic Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.