Carl I Blau M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A23803 Issued in CA

Legal business name

CARL I BLAU M D INC

Practice address

5400 Balboa Blvd
#228
Encino, CA 91316-1502

Phone

(818) 886-6848

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Carl I Blau, M D

Title

Owner

Phone

(818) 886-6848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1346561529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260710",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260710",
            "telephone_number": "818-886-6848",
            "fax_number": "818-886-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "#228",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-886-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL I BLAU M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BLAU",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-886-6848",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A23803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A238030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina A Careri, APCC
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• Caring Joy Home Care
• Caring Joy Providers
• Kirstin F Carl, L.M.F.T.
• Maury Theodore Carlin I, PH.D.
• Tracy Lynn Carlis, PHD
• Elliot Ryan Carlisle, M.D.
• Eric S Carlisle, MD

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.