Organization Active NPI

Marta Blesa MD a Professional Corporation

  • General Practice Physician
  • Temple City, CA
National Provider Identifier
1972819977
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A31530 Issued in CA
Legal business name
MARTA BLESA MD A PROFESSIONAL CORPORATION
Practice address
5821 Temple City Blvd
Temple City, CA 91780-2113
Phone
(626) 287-8261
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Tina Ramirez
Title
Office Manager
Phone
(626) 287-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A31530 CA Primary

Addresses

Primary practice location

5821 Temple City Blvd
Temple City, CA 91780-2113

Mailing address

5821 Temple City Blvd
Temple City, CA 91780-2113
Phone (626) 287-8261

Other identifiers 1

IdentifierTypeStateIssuer
00A31530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100918000156 CA Part B Supplier - Clinic/Group Practice 8022133735 Receives reassigned benefits from 1 practitioner
Practice locations: Temple City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0669386Marta Blesa MD5821 Temple City Blvd, Temple City, CA 91780Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5821 Temple City Blvd
Temple City, CA 91780
Phone (626) 287-8261

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1972819977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802113",
            "telephone_number": "626-287-8261",
            "fax_number": "626-287-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802113",
            "telephone_number": "626-287-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA BLESA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-287-8261"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A31530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.