Active NPI
Michael Bradley Blum, DC
- Chiropractor
- North Hollywood, CA
National Provider Identifier
1780743765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21594
- Practice address
- 10449 Magnolia Blvd
North Hollywood, CA 91601-4111 - Phone
- (818) 980-5141
- Fax
- (818) 980-1717
- NPI assigned
- Dec 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC21594 | CA | Primary |
Addresses
Primary practice location
10449 Magnolia Blvd
North Hollywood, CA 91601-4111
Mailing address
3654 Paseo Primario
Calabasas, CA 91302-3023
Phone (818) 980-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10449 Magnolia BL
No Hollywood, CA 91601-4111
10449 Magnolia Blvd
No. Hollywood, CA 91601-4111
Phone (818) 980-5141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21594 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Ages Chiropractic Center Inc. | Chiropractor | Current | Accepting new patients |
| Pazera Chiropratic, Inc | Chiropractor | Past | Accepting new patients |
Locations
10449 Magnolia Blvd
North Hollywood, CA 91601
Phone (818) 980-5141
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.
-
- Chiropractor
- North Hollywood, CA
- NPI 1487991030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780743765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 PASEO PRIMARIO",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023023",
"telephone_number": "818-980-5141",
"fax_number": "818-980-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10449 MAGNOLIA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014111",
"telephone_number": "818-980-5141",
"fax_number": "818-980-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "MICHAEL",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.