Blake Andrew Ohm, DNP CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

95001936 Issued in CA

Practice address

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Phone

(833) 574-2273

NPI assigned

Dec 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vasa Anesthesia Professional CorporationGroup PAC ID 9133665482, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vasa Anesthesia Professional Corporation

  • Certified Registered Nurse Anesthetist
  • Chino, CA
  • NPI 1356108831
  Medicare reassignment Care Compare group NPD
• Axiom Anesthesia a Professional Nursing Corporation

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1760150155
  Medicare reassignment NPD
• Digestive Health Associates of Southern California

  • Certified Registered Nurse Anesthetist
  • Santa Monica, CA
  • NPI 1639604747
  Medicare reassignment NPD
• Farnad Medical Corporation

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1083258362
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• New Vision Nurse Anesthesia Group Inc

  • Certified Registered Nurse Anesthetist
  • Encino, CA
  • NPI 1609654102
  Medicare reassignment
• Digestive Health Associates of Southern California

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Monica, CA
  • NPI 1043098619
  NPD
• Morpheus Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Colton, CA
  • NPI 1023529591
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Inglewood, CA
  • NPI 1821635079
  NPD
• Center for Advanced Cardiac and Vascular Interventions

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1982115457
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1619688868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 VENICE BLVD APT F",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914962",
            "telephone_number": "817-565-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHM",
        "first_name": "BLAKE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DNP CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-10-27",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "95001936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas M Ohearn, M.D.
• Daniel Oheb, MD
• Tania Serah Ohebsion, DDS
• Chiedozie Azubuike Ohiaeri, RRT, RCP
• Joy Ohiomoba, MD
• Chungsook Ohm, L.AC
• Ohm'S Acupuncture & Herbal Clinic, Inc.
• Rachel Elizabeth Ohman
• Khin Mar Ohn, MD
• Ohni Clinical Services, Inc

• Anesthesiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.