Organization Active NPI

Howard Bliman M.D.

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1366568941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G45028 Issued in CA
Legal business name
HOWARD BLIMAN M.D.
Practice address
1240 S Westlake Blvd
Suite 233
Westlake Village, CA 91361-1929
Phone
(805) 495-0411
Fax
(805) 379-4417
NPI assigned
Mar 22, 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. Howard Bliman, M.D.
Title
President
Phone
(805) 495-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G45028 CA Primary

Addresses

Primary practice location

1240 S Westlake Blvd
Suite 233
Westlake Village, CA 91361-1929

Mailing address

1240 S Westlake Blvd
Suite 233
Westlake Village, CA 91361-1929
Phone (805) 495-0411

Other identifiers 1

IdentifierTypeStateIssuer
00G450280MedicaidCA

National Provider Directory

National Provider Directory

Locations

1240 S Westlake Blvd
Ste 233
Westlake Vlg, CA 91361
Phone (805) 495-0411

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 233",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-495-0411",
            "fax_number": "805-379-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 233",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-495-0411",
            "fax_number": "805-379-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD BLIMAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLIMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-495-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G450280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.