Organization Active NPI

Michael R Block M D Inc

  • Internal Medicine Physician
  • Pacific Palisades, CA
National Provider Identifier
1235384785
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL R BLOCK M D INC
Practice address
970 Monument St
Suite 210
Pacific Palisades, CA 90272-3800
Phone
(310) 459-4321
Fax
(310) 459-5326
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Michael R Block, M.D.NPI 1134203656
Title
President
Phone
(310) 459-4321

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

970 Monument St
Suite 210
Pacific Palisades, CA 90272-3800

Mailing address

970 Monument St
Suite 210
Pacific Palisades, CA 90272-3800
Phone (310) 459-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000088 CA Part B Supplier - Clinic/Group Practice 7911060819 Receives reassigned benefits from 1 practitioner
Practice locations: Pacific Palisades, CA

National Provider Directory

National Provider Directory

Locations

970 Monument St
Ste 210
Pacific Plsds, CA 90272
Phone (310) 459-4321

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1235384785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 210",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-459-4321",
            "fax_number": "310-459-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "SUITE 210",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723800",
            "telephone_number": "310-459-4321",
            "fax_number": "310-459-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R BLOCK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-459-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.