RICHARD BLACKBURN (NPI# 1619227162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
1328 2ND ST |
City | SANTA MONICA |
State | CA |
Zip Code | 90401-1122 |
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 |
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 Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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 |
City | SANTA MONICA |
Zip Code | 90401 |
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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.