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MITCHELL E. BLUM M.D., F.A.C.S., INC.
NPI 1356717854
Otolaryngology - Facial Plastic Surgery in Tracy, CA

Active since August 19, 2015
2160 W GRANT LINE RD, SUITE 250, TRACY, CA 95377(209) 834-0626(209) 834-1814 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell E. Blum M.d., F.a.c.s., Inc. NPPES

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

MITCHELL E. BLUM M.D., F.A.C.S., INC. (NPI 1356717854) is a healthcare organization registered as a facial plastic surgery in Tracy, California and active in the NPI registry since August 2015. The organization lists Mitchell E. Blum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356717854
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameMITCHELL E. BLUM M.D., F.A.C.S., INC.
Location Address2160 W GRANT LINE RD, SUITE 250Tracy, CA 95377-7330
Mailing Address2160 W Grant Line Rd, Suite 250Tracy, CA 95377-7330 · (209) 834-0626 · Fax (209) 834-1814
Phone(209) 834-0626
Fax(209) 834-1814
Organization SubpartNo
Authorized OfficialMitchell E. BlumCeo · (209) 834-0626
Enumeration DateAugust 19, 2015
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1356717854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · G25010
Definition
An otolaryngologist who specializes in facial plastic surgery.
2160 W GRANT LINE RD, Tracy, CA 95377
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

TRACY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2160 W GRANT LINE RD, SUITE 120
TRACY, CA 95377
San Joaquin County (209) 836-5680
DAVID ALAN EDELSOHN MD
Anesthesiology
2160 W GRANT LINE RD, SUITE 120
TRACY, CA 95377
San Joaquin County (209) 836-5680
DR. USMAN M ALI M.D.
Internal Medicine
2160 W GRANT LINE RD, STE 230
TRACY, CA 95377
San Joaquin County (209) 832-8700
DELTA EYE MEDICAL GROUP, INC.
Ophthalmology
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
San Joaquin County (209) 835-2227
TRACY URGENT CARE, INC
Internal Medicine
2160 W GRANT LINE RD, STE.230
TRACY, CA 95377
San Joaquin County (209) 832-8700
MR. MAHESH G MODI MD
Internal Medicine (Gastroenterology)
2160 W GRANT LINE RD, SUITE 240
TRACY, CA 95377
San Joaquin County (209) 833-6118
GRANT LINE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
2160 W GRANT LINE RD, STE 205
TRACY, CA 95377
San Joaquin County (209) 832-2999
HANA RHA LIM O.D.
Optometrist
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
San Joaquin County (209) 835-2227

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 Mitchell E. Blum M.D., F.A.C.S., Inc.'s NPI number?

The NPI number for Mitchell E. Blum M.D., F.A.C.S., Inc. is 1356717854. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Mitchell E. Blum M.D., F.A.C.S., Inc. located?

Mitchell E. Blum M.D., F.A.C.S., Inc. is located at 2160 W Grant Line Rd Suite 250, Tracy, CA 95377. The listed phone number is (209) 834-0626.

What is Mitchell E. Blum M.D., F.A.C.S., Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Mitchell E. Blum M.D., F.A.C.S., Inc. was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.