MR. JASON D BLANTZ NP MSN NPI 1225155690

NPI Information

NPI: 1225155690
Provider Name: MR. JASON D BLANTZ, NP, MSN
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

PECOS Registration: Yes

Address:
234 EDDY ST
HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 353-5045
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MR. Jason D Blantz, NP, MSN is an ambulatory care registered nurse in San Francisco, CA. MR. Jason D Blantz, NP, MSN NPI is 1225155690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

234 EDDY ST
HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA
ZIP 94102-716
Phone: (415) 353-5045
Fax: (415) 292-5048

The NPI 1225155690 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 3/23/2007 and was last updated on 7/8/2007.

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
1	163WP2201X	Registered Nurse	Ambulatory Care	RN568106	CALIFORNIA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	NPF13458	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q22136	MEDICARE UPIN
2	073908	OTHER		SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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