Active NPI
Dominic J Blurton, M.D.
- Pediatric Cardiology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A77780
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Jul 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A77780 | CA | |
| Pediatric Cardiology Physician | 2080P0202X | A77780 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Other practice location 1
3080 Bristol St
Suite 600
Costa Mesa, CA 92626-3093
Phone (714) 445-0228 ext. 8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A777800 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77780 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Pacific Cardiovascular Associates Medical Group, Inc. | Current | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262
24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337
2880 Atlantic Ave
Ste 220
Long Beach, CA 90806
790 E Willow St
Ste 150
Long Beach, CA 90806
Phone (714) 445-0228
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
681 S Parker St
Ste 100
Orange, CA 92868
Phone 7144450228 ext. 8262
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
5300 Snyder Ln
Ste A
Rohnert Park, CA 94928
Phone (707) 585-8347
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dblurton590397@hisp.ehr.sutterhealth.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 12
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.
-
- Legal Medicine
- Costa Mesa, CA
- NPI 1700821691
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- Medicare Defined Swing Bed Hospital Unit
- Lakeport, CA
- NPI 1598098642
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1750301230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"fax_number": "714-445-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "3080 Bristol St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926263093",
"country_code": "US",
"telephone_number": "714-445-0228 x8262",
"fax_number": "714-445-0246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLURTON",
"first_name": "DOMINIC",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A77780",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A77780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A777800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.