NPIMap

Organization Active NPI

Anthony Bledin M.D. Inc

Doing business as Big Oak Radiology INC

  • Clinical Medical Laboratory
  • Westlake Village, CA
National Provider Identifier
1265653554
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
C42124 Issued in CA
Legal business name
ANTHONY BLEDIN M.D. INC
Doing business as
Big Oak Radiology INC
Practice address
2820 Townsgate Rd
Suite 100a
Westlake Village, CA 91361-3000
Phone
(805) 367-8219
Fax
(805) 367-8222
NPI assigned
May 2, 2007
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 C42124 CA Primary

Addresses

Primary practice location

2820 Townsgate Rd
Suite 100a
Westlake Village, CA 91361-3000

Mailing address

1851 Holser Walk
Suite 220
Oxnard, CA 93036-2626
Phone (805) 494-9940

Other names 1

  • Big Oak Radiology INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000478 CA Part B Supplier - Clinic/Group Practice 5890958110 Receives reassigned benefits from 1 practitioner
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Granada Hills, CA; Los Angeles, CA; Montebello, CA; Oxnard, CA; Westlake Village, CA; Woodland Hills, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1265653554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK",
            "address_2": "SUITE 220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-494-9940",
            "fax_number": "805-494-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 TOWNSGATE RD",
            "address_2": "SUITE 100A",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613000",
            "telephone_number": "805-367-8219",
            "fax_number": "805-367-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BLEDIN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "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": "CA",
            "license": "C42124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Oak Radiology INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.