Active NPI
David A. Bluestone, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1740329804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G-11443
- Practice address
- 6221 Wilshire Blvd
#215
Los Angeles, CA 90048-5201 - Phone
- (323) 938-7294
- Fax
- (323) 954-9295
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G-11443 | CA | Primary |
Addresses
Primary practice location
6221 Wilshire Blvd
#215
Los Angeles, CA 90048-5201
Mailing address
6221 Wilshire Blvd
#215
Los Angeles, CA 90048-5201
Phone (323) 938-7294
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G-11443 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Mile Pediatrics | Pediatrics | Past | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1962874131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740329804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "#215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-938-7294",
"fax_number": "323-954-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "#215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-938-7294",
"fax_number": "323-954-9295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUESTONE",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G-11443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.