Organization Active NPI

Arnold J. Blustein, MD, Inc.

  • Pediatrics Physician
  • San Leandro, CA
National Provider Identifier
1376505941
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G33522 Issued in CA
Legal business name
ARNOLD J. BLUSTEIN, MD, INC.
Practice address
1235 Harrison St
San Leandro, CA 94577-4515
Phone
(510) 352-2425
Fax
(510) 352-6273
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Arnold J Blustein, M.D.NPI 1114989951
Title
President
Phone
(510) 352-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G33522 CA Primary

Addresses

Primary practice location

1235 Harrison St
San Leandro, CA 94577-4515

Mailing address

1235 Harrison St
San Leandro, CA 94577-4515
Phone (510) 352-2425

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0691700A J Blustein MD1235 Harrison St, San Leandro, CA 94577Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1235 Harrison St
San Leandro, CA 94577
Phone (510) 352-2425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1376505941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 HARRISON ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774515",
            "telephone_number": "510-352-2425",
            "fax_number": "510-352-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 HARRISON ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774515",
            "telephone_number": "510-352-2425",
            "fax_number": "510-352-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD J. BLUSTEIN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BLUSTEIN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-352-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G33522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.