Blueberry Medical

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUEBERRY MEDICAL

Practice address

5400 Balboa Blvd
Encino, CA 91316-1502

Phone

(818) 789-0203

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marjorie Yong, MD

Title

Founder

Phone

(310) 989-1892

Specialties & licenses 1

Addresses

Other names 1

• Sleepytime Doing business as

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1467724732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16628 OAK VIEW CT",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361900",
            "telephone_number": "310-989-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-789-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-989-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleepytime",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernice R Blatt, LCSW
• Carl I Blau, M.D.
• Jonathan Michael Blau, M.D.
• Nazanin Blitshteyn, RDN
• Blue Sky Mental Health Inc
• Nancy A Blum, PH.D.
• Avrum Z Bluming, MD
• Donald Blumkin, PHARM D
• Sulangi Bluntt, MS CCC-SLP
• Blythe Project LLC

• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.