MARIKO ELIZABETH BLUMENFELD FNP
NPI 1750820965
Nurse Practitioner - Family in San Leandro, CA

Active since February 21, 2017PECOS Enrolled
13690 E 14TH ST STE 200, SAN LEANDRO, CA 94578(510) 297-0550(510) 297-0558 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Feb 21, 2017 (2 updates tracked since 2017).

About Mariko Elizabeth Blumenfeld Fnp NPPES

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

MARIKO ELIZABETH BLUMENFELD FNP (NPI 1750820965) is an individual family provider in San Leandro, California, licensed in California (95006095) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750820965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIKO ELIZABETH BLUMENFELDCredential: FNP
Location Address13690 E 14TH ST STE 200San Leandro, CA 94578-2584
Mailing Address4626 Willow RdPleasanton, CA 94588-8517 · (866) 623-7600
Fax(510) 297-0558
Sole ProprietorNo
Enumeration DateFebruary 21, 2017
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1750820965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95006095
Also ListedRegistered NurseTaxonomy 163W00000X · License 95053145 (CA)
13690 E 14TH ST STE 200, San Leandro, CA 94578

Other Names 1

Former Name (1)Mariko Elizabeth Lightner Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mariko Elizabeth Blumenfeld Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94578 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Specialist
13690 E 14TH ST STE 200
SAN LEANDRO, CA 94578
Physician Assistant
13690 E 14TH ST STE 200
SAN LEANDRO, CA 94578
Orthopaedic Surgery (Hand Surgery)
13690 E 14TH ST STE 200
SAN LEANDRO, CA 94578
Orthopaedic Surgery (Hand Surgery)
13690 E 14TH ST STE 200
SAN LEANDRO, CA 94578

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 Mariko Blumenfeld's NPI number?

The NPI number for Mariko Blumenfeld is 1750820965. It was assigned to this individual provider in the NPPES registry on February 21, 2017. The provider is also known as Mariko Elizabeth Lightner Np.

Where is Mariko Blumenfeld located?

Mariko Blumenfeld practices at 13690 E 14th St Ste 200, San Leandro, CA 94578. The listed phone number is (510) 297-0550.

What is Mariko Blumenfeld's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mariko Blumenfeld enrolled in Medicare?

Yes. Mariko Blumenfeld is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariko Blumenfeld was last updated on April 6, 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.