MARIKO ELIZABETH BLUMENFELD FNP NPI 1750820965

NPI Information

  • NPI: 1750820965
  • Provider Name: MARIKO ELIZABETH BLUMENFELD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13690 E 14TH ST STE 200
    SAN LEANDRO, CA
    ZIP 94578
  • Phone: (510) 297-0550

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NPI Details

Mariko Elizabeth Blumenfeld, FNP is a family nurse practitioner in San Leandro, CA. Mariko Elizabeth Blumenfeld, FNP NPI is 1750820965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13690 E 14TH ST STE 200
SAN LEANDRO, CA
ZIP 94578-584
Phone: (510) 297-0550
Fax: (510) 297-0558

The NPI 1750820965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95053145CALIFORNIANo
2363LF0000XNurse PractitionerFamily95006095CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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