Active NPI
Anita L. Blosser, M.D.
- Family Medicine Physician
- Red Bluff, CA
National Provider Identifier
1467530022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G88622
- Practice address
- 1850 Walnut St
Red Bluff, CA 96080-3611 - Phone
- (530) 527-0350
- Fax
- (530) 529-3881
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G88622 | CA | Primary |
Addresses
Primary practice location
1850 Walnut St
Red Bluff, CA 96080-3611
Mailing address
PO Box 400
Red Bluff, CA 96080-0400
Phone (530) 527-0350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CY403Z | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88622 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Henderson Family Medicine Clinic
- Family Medicine Physician
- Henderson, NC
- NPI 1932137676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1467530022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960800400",
"telephone_number": "530-527-0350",
"fax_number": "530-529-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 WALNUT ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960803611",
"telephone_number": "530-527-0350",
"fax_number": "530-529-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOSSER",
"first_name": "ANITA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G88622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CY403Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.