CRESCENT CITY INTERNAL MEDICINE
NPI 1669468930
Internal Medicine in Crescent City, CA

Active since September 22, 2005
1771 NORTHCREST DR, CRESCENT CITY, CA 95531(707) 465-8666(707) 465-8650 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crescent City Internal Medicine NPPES

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

CRESCENT CITY INTERNAL MEDICINE (NPI 1669468930) is a healthcare organization registered as an internal medicine in Crescent City, California and active in the NPI registry since September 2005. The organization lists Matthew C Blundell, Physician, as its authorized official.

NPPES Registry Identity

NPI1669468930
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRESCENT CITY INTERNAL MEDICINE
Location Address1771 NORTHCREST DRCrescent City, CA 95531-8922
Mailing Address1771 Northcrest DrCrescent City, CA 95531-8922 · (707) 465-8666 · Fax (707) 465-8650
Fax(707) 465-8650
Organization SubpartNo
Authorized OfficialMatthew C BlundellPhysician · (707) 465-8666
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 28, 2013
NPI 1669468930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1771 NORTHCREST DR, Crescent City, CA 95531

Other Identifiers 3

MedicaidGR0087830CA
Medicare PINR103270OR
Medicare OSCAR/certificationZZZ13827ZCA

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 4

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

Internal Medicine
1771 NORTHCREST DR
CRESCENT CITY, CA 95531
Internal Medicine
1771 NORTHCREST DR
CRESCENT CITY, CA 95531
Nurse Practitioner (Primary Care)
1771 NORTHCREST DR
CRESCENT CITY, CA 95531
Internal Medicine
1771 NORTHCREST DR
CRESCENT CITY, CA 95531

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 Crescent City Internal Medicine's NPI number?

The NPI number for Crescent City Internal Medicine is 1669468930. It was assigned to this organization in the NPPES registry on September 22, 2005.

Where is Crescent City Internal Medicine located?

Crescent City Internal Medicine is located at 1771 Northcrest Dr, Crescent City, CA 95531. The listed phone number is (707) 465-8666.

What is Crescent City Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Crescent City Internal Medicine was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.