Active NPI
Michael Gregory Blyumin, PHARMD
- Pharmacist
- Stanford, CA
National Provider Identifier
1235701293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84529
- Practice address
- 300 Pasteur Dr RM H0301C
Stanford, CA 94305-2200 - Phone
- (650) 493-9973
- NPI assigned
- Jul 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 84529 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr RM H0301C
Stanford, CA 94305-2200
Mailing address
854 Jordan Ave Apt K
Los Altos, CA 94022-1422
Phone (619) 339-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84529 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1235701293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 JORDAN AVE APT K",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221422",
"telephone_number": "619-339-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM H0301C",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-493-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYUMIN",
"first_name": "MICHAEL",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-10",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.