Individual provider Active NPI

Michael R. Blum, M.D.

  • Emergency Medicine Physician
  • Tarzana, CA
National Provider Identifier
1649229816
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19575 Issued in NV
Practice address
18133 Ventura Blvd
Tarzana, CA 91356-3612
Phone
(818) 981-3818
NPI assigned
May 8, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A61247 CA
Emergency Medicine Physician 207P00000X 19575 NV Primary

Addresses

Primary practice location

18133 Ventura Blvd
Tarzana, CA 91356-3612

Mailing address

4018 Camino Plano
Calabasas, CA 91302-3017
Phone (310) 403-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040301001308 CA Practitioner - Emergency Medicine 8426945866 Reassigns benefits to 3 organizations
I20200221000638 NV Practitioner - Emergency Medicine 8426945866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9880 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-8085
Phone (702) 216-7335

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61247CAMDEmergency Medicine Physician
19575NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine CurrentSince Apr 2, 2018 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Mar 6, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2003 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Mar 6, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2003 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Gaylene J. Soloniuk-Tays, M.D., a Professional Corporation Past Accepting new patients

Locations

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

9860 W Skye Cyn Dr
Las Vegas, NV 89166

9880 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 216-7335

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1649229816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CAMINO PLANO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023017",
            "telephone_number": "310-403-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18133 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563612",
            "telephone_number": "818-981-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A61247",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "19575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.