Individual provider Active NPI

Ellen Ambas Blando, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1396711644
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A65631 Issued in CA
Practice address
8977 Mira Mesa Blvd
San Diego, CA 92126-2716
Phone
(844) 200-2426
Fax
(858) 898-2880
NPI assigned
Feb 27, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A65631 CA Primary

Addresses

Primary practice location

8977 Mira Mesa Blvd
San Diego, CA 92126-2716

Mailing address

637 3Rd Ave Ste E1
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070504000472 CA Practitioner - Family Practice 3577669704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

629 Villa Romero Dr
El Paso, TX 79928-5853

PO Box
Suite 28199
San Diego, CA 92198-0199

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65631CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Samahan, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Operation Samahan Inc CurrentSince Nov 3, 2025 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

1236 Main St
Ramona, CA 92065
Phone (760) 789-4500

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

9995 Carmel Mountain Rd
Ste B1011
San Diego, CA 92129

Interoperability endpoints

  • Direct secure messaging: ellen.blando.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: ellen.blando@opsam.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1396711644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE STE E1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8977 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262716",
            "telephone_number": "844-200-2426",
            "fax_number": "858-898-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDO",
        "first_name": "ELLEN",
        "middle_name": "AMBAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A65631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.