Active NPI
Stephen L Bland MD Medical Corp
- Rheumatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G5590
- Legal business name
- STEPHEN L BLAND MD MEDICAL CORP
- Practice address
- 1127 Wilshire Boulevard
Suite 1010
Los Angeles, CA 90017-4001 - Phone
- (213) 977-0208
- Fax
- (213) 977-0963
- NPI assigned
- May 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Leon Bland, M.D.
- Title
- Physician
- Phone
- (213) 977-0208
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G5590 | CA | Primary |
Addresses
Primary practice location
1127 Wilshire Boulevard
Suite 1010
Los Angeles, CA 90017-4001
Mailing address
1127 Wilshire Boulevard
Suite 1010
Los Angeles, CA 90017-4001
Phone (213) 977-0208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G55900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0541503 | Stephen L Bland MD Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1127 Wilshire Blvd
Ste 1010
Los Angeles, CA 90017
Phone (213) 977-0208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Los Angeles, CA
- NPI 1821002627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279497600000",
"number": "1235458621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BOULEVARD",
"address_2": "SUITE 1010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174001",
"telephone_number": "213-977-0208",
"fax_number": "213-977-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BOULEVARD",
"address_2": "SUITE 1010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174001",
"telephone_number": "213-977-0208",
"fax_number": "213-977-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN L BLAND MD MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-07-19",
"status": "A",
"authorized_official_last_name": "BLAND",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "213-977-0208",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G5590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G55900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 19, 2010; 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.