Individual provider Active NPI

John Charles Blaustein, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Barbara, CA
National Provider Identifier
1518025535
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G654820 Issued in CA
Practice address
Santa Barbara Cottage Hospital
Pueblo at Bath
Santa Barbara, CA 93102
Phone
(805) 569-7367
Fax
(805) 569-8354
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X G654820 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G654820 CA Primary

Addresses

Primary practice location

Santa Barbara Cottage Hospital
Pueblo at Bath
Santa Barbara, CA 93102

Mailing address

PO Box 5007
San Luis Obispo, CA 93403-5007
Phone (805) 710-7308

Other identifiers 5

IdentifierTypeStateIssuer
00G654820MedicaidCA
220006228OtherCARAILROAD MEDICARE
ZZZ42967ZOtherCABLUE SHIELD
G654820OtherCAMEDICAL BOARD OF CA
1356409379OtherCAGROUP NPI

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

LicenseStateTypeSpecialty
G654820CAMDHematology (Pathology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1518025535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035007",
            "telephone_number": "805-710-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA COTTAGE HOSPITAL",
            "address_2": "PUEBLO AT BATH",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93102",
            "telephone_number": "805-569-7367",
            "fax_number": "805-569-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "G654820",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G654820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G654820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220006228",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ42967Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA",
            "identifier": "G654820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356409379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.