Carol Ann Barnes-Blanks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A46666 Issued in CA

Practice address

23672 Birtcher Dr Unit a
Lake Forest, CA 92630-1711

Phone

(949) 770-7301

Fax

(949) 770-0634

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Parkview Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Riverside, CA
  • NPI 1114339207

  CA

  Medicare reassignment NPD
• Family and Holistic Health

  • Family Medicine Physician
  • San Clemente, CA
  • NPI 1356353502

  Family Medicine

  NPD (past) Authorized official
• Tim Roham D.O. Inc

  • Clinic/Center
  • San Clemente, CA
  • NPI 1124354592
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1720009152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23672 BIRTCHER DR UNIT A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301711",
            "telephone_number": "949-770-7301",
            "fax_number": "949-770-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23672 BIRTCHER DR UNIT A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301711",
            "telephone_number": "949-770-7301",
            "fax_number": "949-770-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES-BLANKS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Janet Balkhi, M. A. CCC-SLP
• Eric Howard Ball, M.D.
• Chase Ballou Ballou
• Baran & Costa LLC
• Mahsa Barkhi
• Braulio Antonio Baron
• Scott Cummings Baron, P.A
• Barouir Deirmenjian Dental Corporation
• Guadalupe Barrera
• Stephen W Barsamian

• All providers in Lake Forest, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.