Richard S Blankenbaker Jr. (NPI# 1639273253, PAC ID# 0547269649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1639273253 |
| PAC ID by PECOS | 0547269649 |
| Professional Enrollment ID | I20061219000569 |
| Full Name | Richard S Blankenbaker Jr. |
| Organization Legal Name | DIPTI ITCHHAPORIA MEDICAL CORPORATION |
| Address |
520 Superior Ave Suite 325 Newport Beach CA 92663-3667 |
| Phone Number | 9495486634 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0446331318 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 1 Hoag Dr, Newport Beach, CA 92663-4162 | 9497605856 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| 520 Superior Ave, Suite 325, Newport Beach, CA 92663-3667 | 9495486634 | DIPTI ITCHHAPORIA MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% |
| Organization Legal Name | DIPTI ITCHHAPORIA MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dipti Itchhaporia | Cardiovascular Disease (cardiology) | Dipti Itchhaporia Medical Corporation | 520 Superior Ave, Suite 325, Newport Beach, CA 92663-3667 |
| Street Address |
520 SUPERIOR AVE SUITE 325 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-3667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali M Aghamohammadi | Otolaryngology | Alexis D Furze Md Inc | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3668 |
| Rajesh S Banker | Cardiac Electrophysiology | Premier Cardiology Inc | 520 Superior Ave, Newport Beach, CA 92663-3672 |
| John M Geiss | Family Medicine | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Mark Miller | Cardiovascular Disease (cardiology) | 520 Superior Ave, Suite 350, Newport Beach, CA 92663-3672 | |
| Subrato Ghosh | Internal Medicine | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Taylor Rose Cwiertniewicz | Nurse Practitioner | Newport Family Medicine Inc A Medical Group | 520 Superior Ave, Suite 360, Newport Beach, CA 92663-3668 |
| Linh L Thong | Nephrology | Nephrology Specialists Medical Group, Inc. | 520 Superior Ave, Suite 340, Newport Beach, CA 92663-3674 |
| Sonia R Grewal | Endocrinology | Naqvi and Naqvi, M.d.'s Inc | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 |
| Elizabeth W Mburu | Nurse Practitioner | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Gregory J Katz | Internal Medicine | Newport Medicine Group Inc | 520 Superior Ave, Suite 220, Newport Beach, CA 92663-3671 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | NEWPORT BEACH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Richard S Blankenbaker Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.