RICHARD BLACKBURN


Address: 1328 2nd St, Santa Monica, CA 90401-1122
Phone: 3105761308

RICHARD BLACKBURN (NPI# 1619227162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619227162
Entity Type Individual
Full Name RICHARD BLACKBURN
Practice Address 1328 2nd St
Santa Monica
CA 90401-1122
Practice Telephone 3105761308
Practice Fax Number 3105761027
Mailing Telephone 3105761308
Mailing Fax Number 3105761027
Enumeration Date 2012-09-12
Last Update Date 2012-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers RICHARD BLACKBURN

NPI Name Taxonomy Address Enumeration
1558467431 Richard E Blackburn Psychiatry & Neurology 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308-5468 2006-09-16
1891215760 Richard Blackburn Dentist 3532 Howard Ave Ste 200, Los Alamitos, CA 90720-3699 2017-06-22
1356466049 Richard Blackburn Counselor 1010 E 45th St, Shawnee, OK 74804-2202 2007-03-20
1134293400 Richard Anthony Blackburn Psychologist 1400 N Union Ave, Fergus Falls, MN 56537-1248 2006-11-20
1801834767 Richard Randall Blackburn Specialist 805 6th Ave W Ste 100, Hendersonville, NC 28739-4160 2006-06-03
1275519878 Richard Jay Blackburn Family Medicine 705 Washington St, Ravenswood, WV 26164-1729 2005-12-16

Office Location

Street Address 1328 2ND ST
City SANTA MONICA
State CA
Zip Code 90401-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518061266 Heide Hamelberg Psychologist 1328 2nd St, Santa Monica, CA 90401-1122 2006-09-12
1275140238 Saidy Amador Case Manager/Care Coordinator 1328 2nd St, Santa Monica, CA 90401-1122 2020-09-24
1194331983 Claudia Lorena Orellana Community Health Worker 1328 2nd St, Santa Monica, CA 90401-1122 2020-09-17
1083220867 Daniel Rodriguez Community Health Worker 1328 2nd St, Santa Monica, CA 90401-1122 2020-09-17
1114539392 Melissa Meza Case Manager/Care Coordinator 1328 2nd St, Santa Monica, CA 90401-1122 2020-08-19
1760091896 Crystal Corral Herrera Case Manager/Care Coordinator 1328 2nd St, Santa Monica, CA 90401-1122 2020-07-24
1215545132 Sydney Fine Case Manager/Care Coordinator 1328 2nd St, Santa Monica, CA 90401-1122 2020-07-16
1437770344 Claire Gordon Counselor 1328 2nd St, Santa Monica, CA 90401-1122 2020-05-01
1528606076 Susan Anne Herbert Counselor 1328 2nd St, Santa Monica, CA 90401-1122 2019-12-16
1992343453 Marlene Garcia Case Manager/Care Coordinator 1328 2nd St, Santa Monica, CA 90401-1122 2019-12-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013499458 Franchesca Johnson Gordon Marriage & Family Therapist 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 2018-09-01
1629564083 Michelle Jillian Dolinsky Social Worker 1243 7th St Ste C, Santa Monica, CA 90401 2018-07-09
1528507084 Doctor Tlc, License Clinical Psychologist, Inc. Community/Behavioral Health 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 2017-02-16
1285006023 Venessa Leeann Roca Speech-Language Pathologist 1218 6th Street, Santa Monica, CA 90401 2015-10-20
1720468036 Stephen J. Kenneally Marriage & Family Therapist 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 2015-06-02
1629458070 Dominique L Robertson Marriage & Family Therapist 530 Wilshire, #310, Santa Monica, CA 90401 2015-06-01
1205252673 Santa Monica Sports Medicine Inc. Physical Medicine & Rehabilitation 900 Wilshire Blvd. #410, Santa Monica, CA 90401 2014-03-10
1154675023 Sherry Marie Martyn Psychologist 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 2012-10-31
1700159829 Gary Warburton Dentist 519 Arizona Ave., Santa Monica, CA 90401 2012-02-21
1265713036 Aleksandr Mailyan Reflexologist 201 Wilshire Blvd #101, Santa Monica, CA 90401 2011-09-07
Find all providers in zip 90401

Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598185647 Matthew Mcadams Rehabilitation Practitioner 1453 16th St., Santa Monica, CA 90404 2014-04-16
1043542475 Heidi K Manheim Rehabilitation Practitioner 1339 20th St., Santa Monica, CA 90404-2033 2010-02-10
1588893481 Michelle Mintz Rehabilitation Practitioner 1537 Berkeley St, #7, Santa Monica, CA 90404-3224 2009-07-13
1528671898 Terri S Lee Rehabilitation Practitioner 1339 20th St, Santa Monica, CA 90404-2033 2020-08-26
1760976070 Michael Lopez Rehabilitation Practitioner 1527 4th St, Santa Monica, CA 90401-2358 2018-06-20
1255860615 Melissa Sarah Velasquez Rehabilitation Practitioner 1450 20th St, Santa Monica, CA 90404-2906 2017-06-08
1851748206 Rebecca James Rehabilitation Practitioner 2730 Wilshire Blvd, Suite 660, Santa Monica, CA 90403-4743 2016-05-16
1235514613 Hannah Salanoa-ogbechie Rehabilitation Practitioner 1527 4th St, Santa Monica, CA 90401 2015-07-27
1164863478 Corey Keith Mckenzie Rehabilitation Practitioner 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 2013-07-15
1831437250 Shana Joy Gerson Rehabilitation Practitioner 1339 20th St, Santa Monica, CA 90404-2033 2013-01-18
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90401

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Dataset Information

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.

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