Active NPI
Jared Blommel
- Psychiatry Physician
- Chula Vista, CA
National Provider Identifier
1841753712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A191532
- Practice address
- 353 H St
Chula Vista, CA 91910-5501 - Phone
- (619) 476-6060
- NPI assigned
- Apr 9, 2019
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A191532 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 74476 | WI |
Addresses
Primary practice location
353 H St
Chula Vista, CA 91910-5501
Mailing address
353 H St
Chula Vista, CA 91910-5501
Phone (619) 476-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191532 | CA | MD | Psychiatry Physician |
| 74476 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1841753712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105501",
"telephone_number": "619-476-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105501",
"telephone_number": "619-476-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOMMEL",
"first_name": "JARED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A191532",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "74476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.