Active NPI
Richard R. Blohm, M.D.
- Internal Medicine Physician
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G55120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G551200 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914000877 | CA | Practitioner - Emergency Medicine | 8022085539 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency 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 FoundationSamuel Mahelona Memorial Hospital
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
- Sutter Medical Center, Sacramento
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55120 | CA | MD | Internal Medicine Physician |
| MD-14008 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| The Makana North Shore Clinic | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Stat Med PC a California Medical Professional Corporation | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Stat Med PC a California Medical Professional Corporation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
CA, Internal Medicine
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
CA, Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Durable Medical Equipment & Medical Supplies
- Stockton, CA
- NPI 1063887883
-
- Durable Medical Equipment & Medical Supplies
- Roseville, CA
- NPI 1083949341
-
- Durable Medical Equipment & Medical Supplies
- Davis, CA
- NPI 1174858435
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1205150356
-
- Durable Medical Equipment & Medical Supplies
- Auburn, CA
- NPI 1225363567
-
- Ambulatory Surgical Clinic/Center
- Modesto, CA
- NPI 1346615150
-
- Durable Medical Equipment & Medical Supplies
- Stockton, CA
- NPI 1356716179
-
- Durable Medical Equipment & Medical Supplies
- Stockton, CA
- NPI 1417810003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
- 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.