Alan M Blum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11407 Issued in CA

Practice address

4241 Jutland Dr Ste 202
San Diego, CA 92117-3661

Phone

(619) 688-2090

Fax

(619) 688-2092

NPI assigned

Sep 16, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Columbia Institute Chiropractic, 1976

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Craig L. Dillman, a Chiropractic Corporation

  • Orthopedic Chiropractor
  • San Diego, CA
  • NPI 1720232564
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1942295845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173661",
            "telephone_number": "619-688-2090",
            "fax_number": "619-688-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173661",
            "telephone_number": "619-688-2090",
            "fax_number": "619-688-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "ALAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-03-21",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "DC11407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bluesleep Ca Inc
• Brenda Blum, CCC, SLP
• Daniel Jin Blum, BA
• Dayna Joelle Blum, D.C.
• Richard I Blum, M.D.
• Steven E. Blum, DO

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.