Thomas Edward Blair, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A126929 Issued in CA

Practice address

14020 Old Harbor LN Apt 203
Marina del Rey, CA 90292-7309

Phone

(202) 365-3486

Fax

(310) 782-1763

NPI assigned

Jun 3, 2012

Last updated

Nov 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victory Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1932402716
  Medicare reassignment NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1801202692
  NPD (past)
• Phalarope Inpatient Services, a Medical Corporation

  • Internal Medicine Physician
  • Marina del Rey, CA
  • NPI 1831504760
  NPD (past)

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1730440025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 OLD HARBOR LN APT 203",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927309",
            "telephone_number": "202-365-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD HARBOR LN APT 203",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927309",
            "telephone_number": "202-365-3486",
            "fax_number": "310-782-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-03",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A126929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Physical Therapy
• Neil Bhamb, M.D.
• Michael Billauer, D.C.
• Mahua Biswas, MD
• Ioannis Bitsis, DDS
• Lisa Blake, RHN
• Bliss Optometry a Professional Corporation
• Steven Mark Block, D.P.M.
• Blossom Ostomy Inc
• Blue Ocean Mental Health

• Emergency Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.