Active NPI
Benjamin Boblett, M.D.
- Family Medicine Physician
- Burlingame, CA
National Provider Identifier
1679620751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A69903
- Practice address
- 1720 El Camino Real
Ste 160
Burlingame, CA 94010-3224 - Phone
- (650) 259-1674
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A69903 | CA | Primary |
Addresses
Primary practice location
1720 El Camino Real
Ste 160
Burlingame, CA 94010-3224
Mailing address
577 Airport Blvd
Ste 300
Burlingame, CA 94010-2020
Phone (650) 240-8198
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palo Alto Medical Foundation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1679620751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 AIRPORT BLVD",
"address_2": "STE 300",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940102020",
"telephone_number": "650-240-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 EL CAMINO REAL",
"address_2": "STE 160",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103224",
"telephone_number": "650-259-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBLETT",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A69903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.