Jonathan Michael Blau, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

141061 Issued in CA

Practice address

16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386

Phone

(818) 477-0787

Fax

(818) 477-0677

NPI assigned

Jun 22, 2010

Last updated

Jun 11, 2019By the provider in NPPES

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shahin S Rad MD PCGroup PAC ID 3870803299, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

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.

• Shahin S. Rad, M.D. PC

  dba Los Angeles Bone and Joint Institute

  • Orthopaedic Surgery Physician
  • Encino, CA
  • NPI 1801265673
  Medicare reassignment Care Compare group NPD
• Ada del Rivero-Yamuy Medical Corp

  dba Hughes Avenue Family Medical Center

  • Primary Care Clinic/Center
  • Culver City, CA
  • NPI 1760690200
  NPD (past)
• Regents of the Univ of Ca

  • Surgery Physician
  • Sacramento, CA
  • NPI 1427041698
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)
• West Hills Hospital

  dba West Hills Hospital & Medical Center

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1396066619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364386",
            "telephone_number": "818-477-0787",
            "fax_number": "818-477-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364386",
            "telephone_number": "818-477-0787",
            "fax_number": "818-477-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "141061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shimika Blackwell
• Stacey Blackwell
• Nicole N/a Blanheteau
• Bernice R Blatt, LCSW
• Carl I Blau, M.D.
• Nazanin Blitshteyn, RDN
• Blue Sky Mental Health Inc
• Blueberry Medical (Sleepytime)
• Nancy A Blum, PH.D.
• Avrum Z Bluming, MD

• Adult Reconstructive Orthopaedic Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.
• 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.