Individual provider Active NPI

Michael Bloch, D.P.M.

  • Podiatrist
  • Torrance, CA
National Provider Identifier
1316029580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4138 Issued in CA
Practice address
21250 Hawthorne Blvd
Suite 160
Torrance, CA 90503-5506
Phone
(310) 540-1213
Fax
(310) 540-7405
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4138 CA Primary

Addresses

Primary practice location

21250 Hawthorne Blvd
Suite 160
Torrance, CA 90503-5506

Mailing address

21250 Hawthorne Blvd
Suite 160
Torrance, CA 90503-5506
Phone (310) 540-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111001160 CA Practitioner - Podiatry 0345287801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Torrance Podiatrists Group IncGroup PAC ID 6103945266, 6 clinicians

Practice addresses (Care Compare)

2780 Skypark Dr
Suite 100
Torrance, CA 90505-5394
Phone (310) 326-8551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue167
Removal or shaving of skin growth357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4138CAMDPodiatrist
4138CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Torrance Podiatrists Group, Inc. Podiatrist CurrentSince Apr 2, 2018 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

23451 Madison St
Ste 230
Torrance, CA 90505
Phone (310) 373-0521

2780 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 326-8551

21250 Hawthorne Blvd
Ste 160
Torrance, CA 90503
Phone (310) 326-8551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316029580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035506",
            "telephone_number": "310-540-1213",
            "fax_number": "310-540-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035506",
            "telephone_number": "310-540-1213",
            "fax_number": "310-540-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "MICHAEL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.