Mitchell E Blum MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G25010 Issued in CA

Legal business name

MITCHELL E BLUM MD INC

Practice address

6633 Coyle Ave
#1
Carmichael, CA 95608

Phone

(916) 961-2083

Fax

(916) 961-7042

NPI assigned

Jun 28, 2006

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn R Thomas

Title

Bookkeeper

Phone

(916) 961-2083

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Edward Blum, M.D.

  • Otolaryngology Physician
  • Tracy, CA
  • NPI 1770586448
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1568490886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 COYLE AVE",
            "address_2": "#1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-961-2083",
            "fax_number": "916-961-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 COYLE AVE",
            "address_2": "#1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-961-2083",
            "fax_number": "916-961-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL E BLUM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "916-961-2083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G25010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G250100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siriwan Mingbunjerdsuk, M.D.
• Denise Nicole Mio- Cunningham, ASW
• Mission Avenue Medical Associates
• Mission Carmichael Post Acute LLC (Mission Carmichael Healthcare Center)
• Mission Peak Holdings, LLC.
• Cheryl Mitchell, PA
• Paul Lamont Mitchell
• Tuolumne Lauren Mitchell
• Shelia Mittelstadt
• MM Unlimited Inc. (Bridges Recovery Network)

• Specialist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.