OMAR A BLANCO M.D. NPI 1619074531

NPI Information

  • NPI: 1619074531
  • Provider Name: OMAR A BLANCO, M.D.
  • Classification: Emergency Medicine - 207PP0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 CHILDRENS LN
    NORFOLK, VA
    ZIP 23507
  • Phone: (757) 668-9219

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NPI Details

Omar A Blanco, M.D. is a pediatric emergency medicine emergency medicine in Norfolk, VA. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Omar A Blanco, M.D. NPI is 1619074531. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-910
Phone: (757) 668-9219

The NPI 1619074531 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 9/20/2006 and was last updated on 4/29/2020.

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
1207PP0204XEmergency MedicinePediatric Emergency Medicine0101222303VIRGINIAYes
2208000000XPediatrics0101222303VIRGINIANo

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
1541953721OTHERTIN
26732305MEDICAIDVIRGINIA

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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