| Dr Blake Andrew Ohm, DNP CRNA | |
| 
					4867 W Sunset Blvd, Los Angeles, CA 90027-5969  | |
| (833) 574-2273 | |
| Not Available | 
| Full Name | Dr Blake Andrew Ohm | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 4867 W Sunset Blvd, Los Angeles, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619688868 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 95001936 (California) | Primary | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678  | 
| Entity Name | Digestive Health Associates Of Southern California | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639604747 PECOS PAC ID: 3375806888 Enrollment ID: O20180416002250  | 
| Entity Name | Morpheus Anesthesia Consultants Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023529591 PECOS PAC ID: 4486909132 Enrollment ID: O20180620001921  | 
| Entity Name | Axiom Anesthesia A Professional Nursing Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760150155 PECOS PAC ID: 5395133326 Enrollment ID: O20211025002427  | 
| Entity Name | New Vision Nurse Anesthesia Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609654102 PECOS PAC ID: 5890148829 Enrollment ID: O20240126000072  | 
| Entity Name | Vasa Anesthesia Professional Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356108831 PECOS PAC ID: 9133665482 Enrollment ID: O20240723000850  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Blake Andrew Ohm, DNP CRNA 950 Venice Blvd Apt F, Venice, CA 90291-4962 Ph: (817) 565-8190  | Dr Blake Andrew Ohm, DNP CRNA 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 Ph: (833) 574-2273  | 
Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713  | |
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271  | |
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748  | |
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766  | |
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 3325, Los Angeles, CA 90095 Phone: 310-267-8626 Fax: 310-267-3899  | |
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794  | |
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061  |