Active NPI
Doron Blumenfeld, MD
- Gynecology Physician
- Santa Monica, CA
National Provider Identifier
1619987658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A45201
- Practice address
- 1245 16TH St
#300
Santa Monica, CA 90404-1235 - Phone
- (310) 453-6767
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A45201 | CA | Primary |
Addresses
Primary practice location
1245 16TH St
#300
Santa Monica, CA 90404-1235
Mailing address
1245 16TH St
#300
Santa Monica, CA 90404-1235
Phone (310) 453-6767
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45201 | CA | MD | Pharmacist |
Interoperability endpoints
- doron@c6f24463.micromddirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1619987658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 16TH ST",
"address_2": "#300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041235",
"telephone_number": "310-453-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 16TH ST",
"address_2": "#300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041235",
"telephone_number": "310-453-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENFELD",
"first_name": "DORON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A45201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.