Blossom Medical Group LLC

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

BLOSSOM MEDICAL GROUP LLC

Practice address

538 W Monte Vista Ave
Vacaville, CA 95688-3620

Phone

(678) 792-0778

NPI assigned

Nov 24, 2025

Organization subpart

Yes

Parent organization

BLOSSOM MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Josefina Guevara

Title

MD

Phone

(678) 792-0778

Specialties & licenses 1

Addresses

Part of

Blossom Medical Group LLC

Locations

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1679434088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "678-792-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOSSOM MEDICAL GROUP LLC",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-792-0778"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Babbitt Blackburn
• Robert Webster Blakewell, PT
• Berenice Blas Martinez
• Felicia G Bloem, PH.D.
• Bloom Health Physical Therapy & Wellness
• Elizabeth Blount
• Blue Ridge Chiropractic
• Robert J Bobsin, MS
• Errie D. Bohanon
• Kristin Bohlender

• Personal Emergency Response Attendant in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Personal Emergency Response Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.