Individual provider Active NPI

Joshua Matthew Blessing, M.D.

  • Family Medicine Physician
  • Alpine, CA
National Provider Identifier
1225566714
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A173612 Issued in CA
Practice address
4058 Willows Rd
Alpine, CA 91901-1668
Phone
(800) 400-1189
NPI assigned
May 26, 2017
Last updated
May 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A173612 CA Primary

Addresses

Primary practice location

4058 Willows Rd
Alpine, CA 91901-1668

Mailing address

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188

Other practice location 1

36350 Church Rd
Campo, CA 91906-2715
Phone (619) 445-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210707002388 OR Practitioner - Family Practice 4981969144 Reassigns benefits to 1 organization
I20220110000044 TX Practitioner - Family Practice 4981969144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indian Health CouncilGroup PAC ID 9830221449, 18 clinicians

Practice addresses (Care Compare)

36350 Church Rd
Campo, CA 91906-2715
Phone (619) 445-1188

4058 Willows Rd
Alpine, CA 91901-1668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173612CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital Current Accepting new patients
Southern Indian Health Council CurrentSince Nov 1, 2021 Accepting new patients
Southern Indian Health Council CurrentSince Nov 1, 2021 Accepting new patients
Southern Indian Health Council Current Accepting new patients
St. Mary's Hospital Inc Family Medicine Past Accepting new patients

Locations

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

5005 Willows Rd
#J111
Alpine, CA 91901
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

2870 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (503) 994-9191

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1225566714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "619-445-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "800-400-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36350 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Campo",
            "state": "CA",
            "postal_code": "919062715",
            "country_code": "US",
            "telephone_number": "619-445-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLESSING",
        "first_name": "JOSHUA",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

Verify at the official NPI Registry.