Individual provider Active NPI

George Lawrence Blankinship III, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Clarita, CA
National Provider Identifier
1952547044
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A112787 Issued in CA
Practice address
18333 Dolan Way Ste 208
Santa Clarita, CA 91387-5423
Phone
(818) 568-9225
Fax
(818) 688-0535
NPI assigned
Dec 19, 2008
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A112787 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

18333 Dolan Way Ste 208
Santa Clarita, CA 91387-5423

Mailing address

18768 Big Cedar Dr
Santa Clarita, CA 91387-1451
Phone (301) 442-4150

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
I20120821000162 CA Practitioner - Physical Medicine and Rehabilitation 5698922045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18333 Dolan Way
Suite 208
Santa Clarita, CA 91387-5423
Phone (818) 568-9225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112787CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GLB Medical Consulting, Inc Physical Medicine & Rehabilitation CurrentSince Nov 27, 2017 Accepting new patients

Locations

839 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 538-0819

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

18333 Dolan Way
Ste 208
Santa Clarita, CA 91387
Phone (301) 442-4150

5437 Laurel Canyon Blvd
#104
Valley Village, CA 91607

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1952547044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18768 BIG CEDAR DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871451",
            "telephone_number": "301-442-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 DOLAN WAY STE 208",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913875423",
            "telephone_number": "818-568-9225",
            "fax_number": "818-688-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKINSHIP",
        "first_name": "GEORGE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A112787",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.