BLUE SHIELD PROMISE HEALTH PLAN
NPI 1134880818
Clinic/Center - Primary Care in Palmdale, CA

Q: What is Blue Shield Promise Health Plan's NPI number?

The NPI number for Blue Shield Promise Health Plan is 1134880818. It was assigned to this organization in the NPPES registry on January 5, 2022.

Q: What is Blue Shield Promise Health Plan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 05, 2022

38440 5TH STREET WEST, PALMDALE, CA 93551(661) 575-2725(661) 273-2139 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blue Shield Promise Health Plan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE SHIELD PROMISE HEALTH PLAN (NPI 1134880818) is a healthcare organization registered as a primary care in Palmdale, California and active in the NPI registry since January 2022. The organization lists Kristen Cerf, President & Ceo Blue Shield Ca Prom, as its authorized official.

NPPES Registry Identity

NPI1134880818

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameBLUE SHIELD PROMISE HEALTH PLAN

Location Address38440 5TH STREET WESTPalmdale, CA 93551

Mailing Address38440 5th Street WestPalmdale, CA 93551 · (661) 575-2725 · Fax (661) 273-2139

Phone(661) 575-2725

Fax(661) 273-2139

Organization SubpartNo

Authorized OfficialKristen CerfPresident & Ceo Blue Shield Ca Prom · (510) 607-4376

Enumeration DateJanuary 5, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1134880818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

38440 5TH STREET WEST, Palmdale, CA 93551

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE 1ST PRIMARY AND URGENT CARE CENTER - PALMDALE

Family Medicine

38440 5TH STREET WEST
PALMDALE, CA 93551

Los Angeles County (661) 575-2725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Shield Promise Health Plan's NPI number?

The NPI number for Blue Shield Promise Health Plan is 1134880818. It was assigned to this organization in the NPPES registry on January 5, 2022.

Where is Blue Shield Promise Health Plan located?

Blue Shield Promise Health Plan is located at 38440 5th Street West, Palmdale, CA 93551. The listed phone number is (661) 575-2725.

What is Blue Shield Promise Health Plan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Blue Shield Promise Health Plan was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.