Individual provider Active NPI

Aminah M Bliss, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1225087463
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A74690 Issued in CA
Practice address
8631 W 3Rd St
Suite 240-E
Los Angeles, CA 90048-5901
Phone
(310) 854-3400
Fax
(310) 854-3401
NPI assigned
May 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A74690 CA
Obstetrics & Gynecology Physician 207V00000X A74690 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 240-E
Los Angeles, CA 90048-5901

Mailing address

1437 Princeton St
# 2
Santa Monica, CA 90404-3055
Phone (323) 821-1941

Other practice location 1

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 582-7312

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
I20040730001116 CA Practitioner - Obstetrics/Gynecology 6103896543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1450 10TH St
Suite 305
Santa Monica, CA 90401-2831
Phone (424) 348-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74690CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss OB/GYN, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2012 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Banafsheh Bayati, M.D. Inc. Obstetrics & Gynecology PastSince Aug 6, 2023 Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

1450 10th St
Ste 305
Santa Monica, CA 90401
Phone (424) 348-3800

Interoperability endpoints

  • Direct secure messaging: aminah.bliss.1@22172.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22172/brand/1/csg/1/fhir/r4

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225087463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PRINCETON ST",
            "address_2": "# 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043055",
            "telephone_number": "323-821-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 240-E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-854-3400",
            "fax_number": "310-854-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042303",
            "country_code": "US",
            "telephone_number": "310-582-7312",
            "fax_number": "310-315-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLISS",
        "first_name": "AMINAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A74690",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A74690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.