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CALVIN J. BLASCO
NPI 1154877587
Clinic/Center in South Pasadena, CA

Active since August 26, 2016
1720 ELLINCOURT DR, APT. 10, SOUTH PASADENA, CA 91030(760) 880-2854(619) 878-2996 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Calvin J. Blasco NPPES

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

CALVIN J. BLASCO (NPI 1154877587) is a healthcare organization registered as a clinic/center in South Pasadena, California and active in the NPI registry since August 2016. The organization lists Calvin John Blasco, Crna, as its authorized official.

NPPES Registry Identity

NPI1154877587
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCALVIN J. BLASCO
Location Address1720 ELLINCOURT DR, APT. 10South Pasadena, CA 91030-2110
Mailing Address1720 Ellincourt Dr, Apt. 10South Pasadena, CA 91030-2110 · (760) 880-2854 · Fax (619) 878-2996
Phone(760) 880-2854
Fax(619) 878-2996
Organization SubpartNo
Authorized OfficialCalvin John BlascoCrna · (760) 880-2854
Enumeration DateAugust 26, 2016
✔ NPI 1154877587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 720477
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1720 ELLINCOURT DR, South Pasadena, CA 91030
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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 Calvin J. Blasco's NPI number?

The NPI number for Calvin J. Blasco is 1154877587. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Calvin J. Blasco located?

Calvin J. Blasco is located at 1720 Ellincourt Dr Apt. 10, South Pasadena, CA 91030. The listed phone number is (760) 880-2854.

What is Calvin J. Blasco's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Calvin J. Blasco was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.