DR. ROBERT S BLUM (NPI# 1104965326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104965326 |
| Entity Type | Individual |
| Full Name | DR. ROBERT S BLUM |
| Credential | MD |
| Practice Address |
1416 Tennessee St Ste 6 Vallejo CA 94590-4647 |
| Practice Telephone | 7075526633 |
| Practice Fax Number | 7075520702 |
| Mailing Telephone | 7075526633 |
| Mailing Fax Number | 7075520702 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G9614 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528283207 | Robert Allan Blum | Psychiatry & Neurology | 9819 Hill St, Kensington, MD 20895-3136 | 2007-04-16 |
| 1194858175 | Robert Michael Blum | Chiropractor | 1343 Catasauqua Rd, Bethlehem, PA 18017-7401 | 2007-03-13 |
| 1568603397 | Robert William Blum | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2009-03-06 |
| 1316099088 | Robert M Blum | Optometrist | 1401 Johnson Ferry Rd, Suite 148b, Marietta, GA 30062-6495 | 2007-01-16 |
| 1730267592 | Robert L. Blum | Emergency Medicine | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-01 |
| 1558334482 | Robert L Blum | Internal Medicine | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2003 | 2006-02-10 |
| 1386634897 | Robert M Blum | Pediatrics | 31500 Telegraph Rd, Ste 105, Bingham Farms, MI 48025-4367 | 2005-10-26 |
| Street Address |
1416 TENNESSEE ST STE 6 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316979818 | Carlton W. Purviance | Psychologist | 1416 Tennessee St, Suite 3a, Vallejo, CA 94590-4647 | 2006-07-07 |
| 1619900156 | George D Trahms | Psychiatry & Neurology | 1416 Tennessee St, Suite 3a, Vallejo, CA 94590-4647 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972814408 | Michelle Maria Mora | Psychiatry & Neurology | 4016 Stepping Stone Ct, Vallejo, CA 94591-6389 | 2010-06-30 |
| 1164865804 | Bindu Padmanabha | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2013-04-11 |
| 1801968623 | Lynda L. Lam | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1225116064 | Vivek B. Pai | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1790886893 | Benjamin Pulido Ligot | Psychiatry & Neurology | 160 Hospital Dr, Vallejo, CA 94589-2517 | 2006-09-25 |
| 1760440150 | Maria Nina A Gonzalez | Psychiatry & Neurology | 975 Sereno Dr, Kaiser Vallejo, Department of Neurology, Vallejo, CA 94589-2441 | 2006-05-03 |
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| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.