CALVIN J. BLASCO NPI 1154877587

NPI Information

  • NPI: 1154877587
  • Provider Name: CALVIN J. BLASCO
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1720 ELLINCOURT DR
    APT. 10
    SOUTH PASADENA, CA
    ZIP 91030
  • Phone: (760) 880-2854

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NPI Details

CALVIN J. BLASCO is a clinic center in South Pasadena, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CALVIN J. BLASCO NPI is 1154877587. The provider is registered as an organization entity type.

The provider's business location address is:

1720 ELLINCOURT DR
APT. 10
SOUTH PASADENA, CA
ZIP 91030-110
Phone: (760) 880-2854
Fax: (619) 878-2996

The provider's authorized official is Calvin John Blasco .
The authorized official title is Crna and has the following contact phone number (760) 880-2854.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.

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
1261Q00000XClinic/Center720477CALIFORNIAYes

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: 11/21/2025

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