DR. JONATHAN WILLIAM BLEVINS M.D. NPI 1477710127

NPI Information

NPI: 1477710127
Provider Name: DR. JONATHAN WILLIAM BLEVINS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
39000 BOB HOPE DR DEPT OF
RANCHO MIRAGE, CA
ZIP 92270
Phone: (949) 263-8620
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DR. Jonathan William Blevins, M.D. is a diagnostic radiology radiology in Rancho Mirage, CA with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jonathan William Blevins, M.D. NPI is 1477710127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

39000 BOB HOPE DR DEPT OF
RANCHO MIRAGE, CA
ZIP 92270-221
Phone: (949) 263-8620
Fax: (800) 409-7005

The NPI 1477710127 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 5/20/2008 and was last updated on 7/9/2017.

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	2085R0202X	Radiology	Diagnostic Radiology	MT189054	PENNSYLVANIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	A117764	CALIFORNIA	Yes

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	00A1177640	OTHER	CALIFORNIA	BC/BS OF CA
2	1477710127	MEDICAID	CALIFORNIA
3	CA131381	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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