Alan Blaustein, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G53181 Issued in CA

Practice address

6330 San Vicente Blvd Ste 520
Los Angeles, CA 90048-5455

Phone

(310) 659-1567

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 23, 2015 through Jun 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Samuel I Miles MD a Professional Corporation

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1790977429
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1356460455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485126",
            "telephone_number": "310-659-1567",
            "fax_number": "424-336-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-659-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G53181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Suzanne Blau, PT, DPT
• Roni Susan Blau, LCSW
• Myrna E Blaufarb, PH.D.
• David Kovi Blauner
• Monica Blauner, MSW
• Jenna Rose Blaustein, NP
• Serenity Blauvelt, LPCC
• Dennis Walter Bleakley, M.D.
• Tracey R Bledsoe-Brewer
• Brian Bledsoe

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.