Organization Active NPI

William J. Blaha, M.D., Inc.

  • Neurology Physician
  • Grass Valley, CA
National Provider Identifier
1275752487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G49578 Issued in CA
Legal business name
WILLIAM J. BLAHA, M.D., INC.
Practice address
152 Catherine LN
Suite F
Grass Valley, CA 95945-5756
Phone
(530) 272-2858
Fax
(530) 272-1832
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Joseph Blaha, M.D.
Title
President
Phone
(530) 272-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G49578 CA Primary

Addresses

Primary practice location

152 Catherine LN
Suite F
Grass Valley, CA 95945-5756

Mailing address

152 Catherine LN
Suite F
Grass Valley, CA 95945-5756
Phone (530) 272-2858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275752487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN",
            "address_2": "SUITE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "530-272-2858",
            "fax_number": "530-272-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN",
            "address_2": "SUITE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "530-272-2858",
            "fax_number": "530-272-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. BLAHA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-272-2858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G49578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.