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DR. JANINE A BLACKMAN M.D.
NPI 1578601357
Family Medicine in Santa Monica, CA

Active since February 02, 2007Opted out of Medicare · through Apr 22, 2027
2811 WILSHIRE BOULEVARD, STE 610, SANTA MONICA, CA 90403(310) 453-2335(214) 393-4645 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 15, 2019, Jan 5, 2017 (2 updates tracked since 2017).

About Dr. Janine A Blackman M.d. NPPES

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

DR. JANINE A BLACKMAN M.D. (NPI 1578601357) is an individual family medicine provider in Santa Monica, California, licensed in California (G158880) and active in the NPI registry since February 2007. She has opted out of Medicare through April 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578601357
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JANINE A BLACKMANCredential: M.D.
Location Address2811 WILSHIRE BOULEVARD, STE 610Santa Monica, CA 90403-4814
Mailing Address2811 Wilshire Boulevard, Ste 610Santa Monica, CA 90403-4814 · (310) 453-2335 · Fax (214) 393-4645
Phone(310) 453-2335
Fax(214) 393-4645
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMay 15, 20192 updates tracked since enumeration
✔ NPI 1578601357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · G158880✔ Licensed in MD · D57494
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2811 WILSHIRE BOULEVARD, STE 610, Santa Monica, CA 90403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Janine A Blackman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2013 through April 22, 2027.

Opt-Out Effective DateApril 22, 2013
Opt-Out In Effect ThroughApril 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. MOSHE BEN-ROOHI M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
2811 WILSHIRE BOULEVARD, STE 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335

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 Janine Blackman's NPI number?

The NPI number for Janine Blackman is 1578601357. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Janine Blackman located?

Janine Blackman practices at 2811 Wilshire Boulevard, Ste 610, Santa Monica, CA 90403. The listed phone number is (310) 453-2335.

What is Janine Blackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janine Blackman enrolled in Medicare?

No. Janine Blackman has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Janine Blackman was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.