Robert L. Blanco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G041147 Issued in CA

Practice address

1341 Burnett Way
Sacramento, CA 95818-2221

Phone

(916) 452-5909

Fax

(916) 487-6858

NPI assigned

Oct 10, 2006

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Hahneman Medical College of the Pacific, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rblanco19989@hisp.ehr.sutterhealth.org
• Direct secure messaging: robert.blanco.p1@direct.apdss.nextgenshare.com

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

• Advanced Pain Diagnostic & Solutions, Inc.

  • Pain Clinic/Center
  • Roseville, CA
  • NPI 1427322635
  Medicare reassignment NPD
• Theodore a. Goodman MD Inc.

  dba Psychiatric Intervention Medical Associates Inc.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1174618748
  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1619065513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162866",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958162866",
            "telephone_number": "916-452-5909",
            "fax_number": "916-487-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BURNETT WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182221",
            "telephone_number": "916-452-5909",
            "fax_number": "916-487-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G041147",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G041147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "00G411470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G411470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "2084P0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Blakley
• Jessica Blanchard, NP
• Ronald T Blanchette, DDS
• Chanel Ligsay Blanco, LVN
• Kimberly Rose Blanco, MSW
• Sonia Blanco
• Armanee Bland
• Teresa Rene Bland
• Emilia L Blando Caoagas, LVN
• Dylan Rae Blankendaal-Kramer, MD

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.