Individual provider Active NPI

Richard R. Blohm, M.D.

  • Internal Medicine Physician
  • Davis, CA
National Provider Identifier
1821185802
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55120 Issued in CA
Practice address
2020 Sutter PL Ste 101
Davis, CA 95616-6217
Phone
(530) 750-5830
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G55120 CA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X G55120 CA
Internal Medicine Physician 207R00000X G55120 CA Primary
Internal Medicine Physician 207R00000X MD-14008 HI

Addresses

Primary practice location

2020 Sutter PL Ste 101
Davis, CA 95616-6217

Mailing address

PO Box 276950
Sacramento, CA 95827-6950
Phone (530) 750-5830

Other practice location 1

401 Kamokila Blvd
Kapolei, HI 96707-5607
Phone (808) 432-3600

Other identifiers 1

IdentifierTypeStateIssuer
00G551200MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000877 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8022085539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
George Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2829 Ala Kalani Kaumaka St
Koloa, HI 96756-7549
Phone (808) 742-0999

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55120CAMDInternal Medicine Physician
MD-14008HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
The Makana North Shore Clinic CurrentSince Jul 3, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 8, 2024 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients
Stat Med PC a California Medical Professional Corporation CurrentSince May 1, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 1, 2010 Accepting new patients
Stat Med PC a California Medical Professional Corporation CurrentSince May 1, 2015 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Sutter East Bay Medical Foundation Emergency Medicine Past Accepting new patients
Oakdale Medical Group Inc Emergency Medicine Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Southern Monterey County Memorial Hospital Past Accepting new patients
Valley Emergency Physicians Emergency Medicine Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients

Locations (25 of 40)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

11795 Education St
Ste 100
Auburn, CA 95602
Phone (530) 886-2300

11795 Education St
Ste 201
Auburn, CA 95602
Phone (530) 745-0720

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

5951 Lone Tree Way
Ste 100
Brentwood, CA 94513
Phone (925) 234-4447

901 Sunvalley Blvd
Ste 100
Concord, CA 94520
Phone (925) 234-4447

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

7667 Amador Valley Blvd
Ste 100
Dublin, CA 94568
Phone (925) 297-6395

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600

2575 E Bidwell St
Ste 160
Folsom, CA 95630
Phone (916) 817-3730

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

970 Dewing Ave
Ste 100B
Lafayette, CA 94549
Phone (925) 297-6396

3799 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 297-6396

4465 1st St
Livermore, CA 94551
Phone (925) 234-4447

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

Interoperability endpoints

  • Direct secure messaging: rblohm20069@hisp.ehr.sutterhealth.org

Organizations & group practices 52

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.

View all 52

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1821185802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950",
            "telephone_number": "530-750-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SUTTER PL STE 101",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166217",
            "telephone_number": "530-750-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Kamokila Blvd",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967075607",
            "country_code": "US",
            "telephone_number": "808-432-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "RICHARD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G55120",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "G55120",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55120",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-14008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G551200",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "401 Kamokila Blvd",
            "city": "Kapolei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967075607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.