CITYBLOCK MEDICAL PRACTICE LA, LLC
NPI 1790447373
General Practice in Lafayette, LA

Q: What is Cityblock Medical Practice La, LLC's NPI number?

The NPI number for Cityblock Medical Practice La, LLC is 1790447373. It was assigned to this organization in the NPPES registry on October 11, 2021.

Q: What is Cityblock Medical Practice La, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 11, 2021

1042 CAMELLIA BLVD, LAFAYETTE, LA 70508(800) 336-1100 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cityblock Medical Practice La, Llc NPPES

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

CITYBLOCK MEDICAL PRACTICE LA, LLC (NPI 1790447373) is a healthcare organization registered as a general practice in Lafayette, Louisiana and active in the NPI registry since October 2021. The organization lists Devon Minerve, Corporate Counsel, as its authorized official.

NPPES Registry Identity

NPI1790447373

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCITYBLOCK MEDICAL PRACTICE LA, LLC

Location Address1042 CAMELLIA BLVDLafayette, LA 70508-6680

Mailing Address495 Flatbush Ave Ste C5Brooklyn, NY 11225-3706 · (800) 336-1100

Phone(800) 336-1100

Organization SubpartNo

Authorized OfficialDevon MinerveCorporate Counsel · (202) 321-2528

Enumeration DateOctober 11, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1790447373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1042 CAMELLIA BLVD, Lafayette, LA 70508

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SELLERS PHYSICAL THERAPY, LLC

Physical Therapist

1042 CAMELLIA BLVD, SUITE # 16
LAFAYETTE, LA 70508

Lafayette Parish (337) 739-9748

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 Cityblock Medical Practice La, LLC's NPI number?

The NPI number for Cityblock Medical Practice La, LLC is 1790447373. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Cityblock Medical Practice La, LLC located?

Cityblock Medical Practice La, LLC is located at 1042 Camellia Blvd, Lafayette, LA 70508. The listed phone number is (800) 336-1100.

What is Cityblock Medical Practice La, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Cityblock Medical Practice La, LLC was last updated on October 11, 2021. 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.