Active NPI
Charles L. Blum, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1487812350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13940
- Practice address
- 11209 National Blvd Ste 117
Los Angeles, CA 90064-3902 - Phone
- (310) 392-9799
- NPI assigned
- May 28, 2008
- Last updated
- Jun 11, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13940 | CA | Primary |
Addresses
Primary practice location
11209 National Blvd Ste 117
Los Angeles, CA 90064-3902
Mailing address
11209 National Blvd Ste 117
Los Angeles, CA 90064-3902
Phone (310) 392-9799
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13940 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1487812350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 NATIONAL BLVD STE 117",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643902",
"telephone_number": "310-392-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 NATIONAL BLVD STE 117",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643902",
"telephone_number": "310-392-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "CHARLES",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "13940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.