NPIMap

Organization Active NPI

Anthony Bledin M.D. Inc

Doing business as La Mesa Diagnostic Radiology

  • Clinical Medical Laboratory
  • La Mesa, CA
National Provider Identifier
1245095892
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANTHONY BLEDIN M.D. INC
Doing business as
La Mesa Diagnostic Radiology
Practice address
8881 Fletcher Pkwy Ste 102
La Mesa, CA 91942-3129
Phone
(858) 723-7540
Fax
(858) 723-7541
NPI assigned
Feb 13, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Dr. Anthony G Bledin, M.D.NPI 1588687115
Title
Radiologist
Phone
(805) 988-1111

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 102
La Mesa, CA 91942-3129

Mailing address

1851 Holser Walk Ste 220
Oxnard, CA 93036-2626
Phone (805) 988-1111

Other names 1

  • La Mesa Diagnostic Radiology Doing business as

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
05D2325190Infusion for Health la Mesa8881 Fletcher Parkway, Suite 385, La Mesa, CA 91942Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Anthony Bledin MD Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1245095892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK STE 220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-988-1111",
            "fax_number": "805-988-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 102",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423129",
            "telephone_number": "858-723-7540",
            "fax_number": "858-723-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BLEDIN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BLEDIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "805-988-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mesa Diagnostic Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.