Organization Active NPI

Stephen L Bland MD Medical Corp

  • Rheumatology Physician
  • Los Angeles, CA
National Provider Identifier
1235458621
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G5590 Issued in CA
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

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Stephen Leon Bland, M.D.NPI 1821002627
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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000G55900MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000204 CA Part B Supplier - Clinic/Group Practice 1850423781 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

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
05D0541503Stephen L Bland MD Inc1127 Wilshire Blvd Suite #1010, Los Angeles, CA 90017Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.