Individual provider Active NPI

Sydney Alexandra Blum

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1467281915
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6330 San Vicente Blvd Ste 310
Los Angeles, CA 90048-5468
Phone
(310) 855-0751
NPI assigned
Jul 31, 2024
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

6330 San Vicente Blvd Ste 310
Los Angeles, CA 90048-5468

Mailing address

6330 San Vicente Blvd Ste 310
Los Angeles, CA 90048-5468
Phone (310) 855-0751

Other practice location 1

6330 San Vicente Blvd Ste 310
Los Angeles, CA 90048-5468
Phone (310) 855-0751

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000664 CA Order and Referring Only - Physician Assistant 6800365735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1467281915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485468",
            "telephone_number": "310-855-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485468",
            "telephone_number": "310-855-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 San Vicente Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485468",
            "country_code": "US",
            "telephone_number": "310-855-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SYDNEY",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.