Jenna Rose Blaustein, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

317800 Issued in CA

Practice address

965 College St
Los Angeles, CA 90012-3240

Phone

(213) 580-7344

Fax

(213) 580-7344

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Practice of Glendale a Medical Corporation

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1801851043
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1598831547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123240",
            "telephone_number": "213-580-7344",
            "fax_number": "213-580-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123240",
            "telephone_number": "213-580-7344",
            "fax_number": "213-580-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "317800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roni Susan Blau, LCSW
• Myrna E Blaufarb, PH.D.
• David Kovi Blauner
• Monica Blauner, MSW
• Alan Blaustein, M.D.
• Serenity Blauvelt, LPCC
• Dennis Walter Bleakley, M.D.
• Tracey R Bledsoe-Brewer
• Brian Bledsoe
• Ruth Joy Bledsoe

• Adult Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.