Organization Active NPI

Marsha J. Bluto, M.D., a Professional Corporation

  • Multi-Specialty Clinic/Center
  • Mill Valley, CA
National Provider Identifier
1255630372
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A106091 Issued in CA
Legal business name
MARSHA J. BLUTO, M.D., A PROFESSIONAL CORPORATION
Practice address
591 Redwood Highway
Suite 5285
Mill Valley, CA 94941-3064
Phone
(415) 380-1840
Fax
(415) 380-1842
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Marsha J Bluto, MD
Title
Owner
Phone
(415) 380-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A106091 CA Primary

Addresses

Primary practice location

591 Redwood Highway
Suite 5285
Mill Valley, CA 94941-3064

Mailing address

PO Box 2490
Mill Valley, CA 94942-2490
Phone (415) 380-1840

Other names 1

  • California Spine, Sports and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

591 Redwood Hwy Frontage Rd
#R
Mill Valley, CA 94941
Phone (415) 380-1840

591 Redwood Hwy Frontage Rd
Ste 5285
Mill Valley, CA 94941
Phone (415) 380-1840

Practitioners & affiliated clinicians

Practitioners 2

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1255630372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2490",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949422490",
            "telephone_number": "415-380-1840",
            "fax_number": "415-380-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HIGHWAY",
            "address_2": "SUITE 5285",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413064",
            "telephone_number": "415-380-1840",
            "fax_number": "415-380-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA J. BLUTO, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BLUTO",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-380-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A106091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Spine, Sports and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.