| Dr Thomas J Blumenfeld, MD | |
|
5725 W Las Positas Blvd Ste 200, Pleasanton, CA 94588-4007 | |
| (925) 272-2860 | |
| Not Available |
| Full Name | Dr Thomas J Blumenfeld |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 5725 W Las Positas Blvd Ste 200, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962479089 | NPI | - | NPPES |
| 00G758580 | Medicaid | CA | |
| P00320223 | Other | CA | MEDICARE RAILROAD |
| 00G758580 | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | G075858 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | G75858 (California) | Primary |
| Entity Name | Sacramento Knee & Sports Medicine Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115575 PECOS PAC ID: 8426028853 Enrollment ID: O20050330001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J Blumenfeld, MD 5725 W Las Positas Blvd Ste 200, Pleasanton, CA 94588-4007 Ph: (925) 272-2860 | Dr Thomas J Blumenfeld, MD 5725 W Las Positas Blvd Ste 200, Pleasanton, CA 94588-4007 Ph: (925) 272-2860 |
David J Jupina, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Dr. Robert H Malstrom, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Priscilla Wong, NP Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4626 Willow Rd, Pleasanton, CA 94588 Phone: 925-463-0470 | |
Kenneth G Venos, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Ian A Stine, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Kambiz Behzadi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Gregory Horner, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 |