Gary M Blum, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G58816 Issued in CA

Practice address

2320 Bath St
Suite 208
Santa Barbara, CA 93105-4339

Phone

(805) 682-7984

Fax

(805) 569-2964

NPI assigned

May 17, 2006

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

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

Diagnostic Radiology

Education

Georgetown University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
• Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as individual

Quality

80

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• California Managed Imaging Medical Group, Inc

  • Vascular & Interventional Radiology Physician
  • Santa Barbara, CA
  • NPI 1821271727

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Prostate Institute of America Inc

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1669061594
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1083001010

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1114111309

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Community Health Clinic/Center
  • Ojai, CA
  • NPI 1154609436

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1497060297

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Gynecologic Oncology Physician
  • Ventura, CA
  • NPI 1619453982

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Port Hueneme, CA
  • NPI 1659656775

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1700303633

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Orthopaedic Surgery Physician
  • Camarillo, CA
  • NPI 1871919126

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1942872106

  Hospital

  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation
• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1629020615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15778",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926235778",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST",
            "address_2": "SUITE 208",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054339",
            "telephone_number": "805-682-7984",
            "fax_number": "805-569-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G58816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G588160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "300057286",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G588160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo-Anne Blatter, LCSW
• John Charles Blaustein, MD
• Laurel Bliss, MD
• Lindsay H Blount, M.D.
• Morgan Antoinette Bluhm, M.A. CCC-SLP
• Joseph Wiliam Blum, M.D.
• Vicky Sam Blum, LCSW
• Kevina Kunihira Blumer
• Lowell Boardman, CATC
• Wesley James Boatman

• Diagnostic Radiology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.