MR. ARTHUR ANTHONY BLAIN IV M.D.
NPI 1801816525
Family Medicine in San Diego, CA

Active since July 19, 2006PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2023, Nov 9, 2015 (2 updates tracked since 2015).

About Mr. Arthur Anthony Blain Iv M.d. NPPES

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

MR. ARTHUR ANTHONY BLAIN IV M.D. (NPI 1801816525) is an individual family medicine provider in San Diego, California, licensed in California (A63511) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1801816525
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ARTHUR ANTHONY BLAIN IVCredential: M.D.
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (800) 926-8273 · Fax (858) 279-0377
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1801816525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A63511
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.
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Location 1

Location 16973 Linda Vista RoadSan Diego, CA 92111-6342 · Phone (858) 279-9676 · Fax (858) 279-0377

Other Identifiers 3

Other00A635110CA · Blue Shield
OtherCB228972Medicare Provider Transaction Access Number Ptan
OtherP01455185Railroad

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Arthur Anthony Blain Iv M.d. 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Arthur Blain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group
Public Health or Welfare
1700 PACIFIC HWY
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
Specialist
3111 CAMINO DEL RIO N STE 625
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
Adult Mental Health
1330 E COOLEY DR
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
Clinic/Center
401 PICACHO ROAD
Winterhaven, CA 92283
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Arthur Blain's NPI number?

The NPI number for Arthur Blain is 1801816525. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Arthur Blain located?

Arthur Blain practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Arthur Blain's specialty?

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

Is Arthur Blain enrolled in Medicare?

Yes. Arthur Blain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Arthur Blain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Blain reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (San Diego, CA), County Of San Diego (San Diego, CA), Pouya Afshar MD Inc (San Diego, CA), County Of San Bernardino (Colton, CA) and Dhhs Phs Ihs Phoenix Area (Winterhaven, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Blain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Blain accept?

Health plans from Anthem Blue Cross and Blue Shield list Arthur Blain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arthur Blain was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.