Blossom Healthcare, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLOSSOM HEALTHCARE, LLC

Practice address

2450 Washington Ave.
Ste. 150
San Leandro, CA 94577

Phone

(408) 479-4325

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Abtin Barzin, J.D.

Title

Administrator

Phone

(408) 479-4325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1649692179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 WASHINGTON AVE.",
            "address_2": "STE. 150",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "408-479-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 WASHINGTON AVE.",
            "address_2": "STE. 150",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "408-479-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "BARZIN",
        "authorized_official_first_name": "ABTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-479-4325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Blee
• Jonathan Max Bloch
• Tyler Block
• Chelsea Rae Blom
• Bloom Together, LLC
• Mary Ann Quarto Bloyer, C.N.M.
• Mariko Elizabeth Blumenfeld, FNP
• Shanika Shalesse Blunt
• Arnold J Blustein, M.D.
• Megan Elizabeth Boesch

• Case Management Agency in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.