Active NPI
Earl D Bland
- Psychologist
- Yorba Linda, CA
National Provider Identifier
1932611076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY272928
- Practice address
- 5550 Patricia Way
Yorba Linda, CA 92887-5622 - Phone
- (913) 449-9063
- Fax
- (913) 449-9063
- NPI assigned
- Oct 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY272928 | CA | Primary |
Addresses
Primary practice location
5550 Patricia Way
Yorba Linda, CA 92887-5622
Mailing address
5550 Patricia Way
Yorba Linda, CA 92887-5622
Phone (913) 449-9063
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY272928 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1932611076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 PATRICIA WAY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928875622",
"telephone_number": "913-449-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 PATRICIA WAY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928875622",
"telephone_number": "913-449-9063",
"fax_number": "913-449-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "EARL",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY272928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.