Look up the most recent NPI and PECOS records

Neal Shanblatt

Internal Medicine

Allopathic & Osteopathic Physicians

1304 15th St Ste 402, Santa Monica, CA 90404-1813

PECOS Enrollment

Based on the most recent information from CMS, provider Neal Shanblatt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1922092410
Provider Type
Individual
Full Name
Shanblatt, Neal
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/12/2005
Last Updated
7/8/2010

Contact Information

Practice Location

1304 15th St Ste 402, Santa Monica, CA 90404-1813

(310) 451-0111

(310) 451-0202

Mailing Location

1304 15th St Ste 402, Santa Monica, CA 90404-1813

(310) 451-0111

(310) 451-0202

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A64647 California

Provider Identifiers

ID	Description	Issuer
ID 00A646470	Description Medicaid	Issuer Unlisted California

Neal Shanblatt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kamel, Tony Hisham

Solorzano, Walter Mauricio

Westside Primary Care, Inc.

Kaminker, Sharon

Hua, Johnson

Kious, Jennifer Prehn

Wilkinson, Ariana

Patanwala, Maria Yousuf

Kaplan, Alexander Brandan

Kim, Gloria Sung