Individual provider Active NPI

Brian Paul Blanco, PT, DPT

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1801973540
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32518 Issued in CA
Practice address
755 N Shepard St
Anaheim, CA 92806-2836
Phone
(714) 630-6252
Fax
(714) 630-6048
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32518 CA
Physical Therapist 225100000X PT32518 CA Primary

Addresses

Primary practice location

755 N Shepard St
Anaheim, CA 92806-2836

Mailing address

1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Phone (714) 256-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000309 CA Practitioner - Physical Therapist in Private Practice 8022026137 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coury and Buehler Physical Therapy Inc.Group PAC ID 8224924261, 23 clinicians

Practice addresses (Care Compare)

239 E Katella Ave
Orange, CA 92867-4853
Phone (714) 538-0025

755 N Shepard St
Anaheim, CA 92806-2836
Phone (714) 630-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32518CAMDPharmacist
PT32518CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Oct 31, 2005 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Oct 31, 2005 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Feb 23, 2015 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Dec 8, 2012 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Dec 8, 2012 Accepting new patients
Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. Physical Therapist CurrentSince Jul 31, 2018 Accepting new patients
Coury & Buehler Physical Therapy - Newport, Inc. Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients

Locations

755 N Shepard St
Anaheim, CA 92806
Phone (714) 630-6252

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

1800 E Lambert Rd
Ste 220
Brea, CA 92821
Phone (714) 256-5074

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

13931 Carroll Way
Ste B
Tustin, CA 92780
Phone (714) 988-8120

15141 Whittier Blvd
Ste 200
Whittier, CA 90603
Phone (562) 378-6800

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1801973540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LAMBERT RD",
            "address_2": "SUITE 220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214370",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N SHEPARD ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062836",
            "telephone_number": "714-630-6252",
            "fax_number": "714-630-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32518",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.

Verify at the official NPI Registry.