Rafael Blank, MD
Hospitalist in Oakland, CA. Individual provider (NPI-1).
NPI number1972033207
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1972033207
- Entity type
- Individual (NPI-1)
- Name
- Rafael Blank
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2017
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | A157323 | CA | Yes |
| 207Q00000X | Family Medicine | A157323 | CA |
Practice location
350 Hawthorne Ave Rm 2308Oakland, CA 94609-3108
Phone 510-869-6883 · Fax 510-869-6888
Mailing address
325 Distel CirLos Altos, CA 94022-1408
Phone 510-869-6883 · Fax 510-869-6888
Other practice locations
2500 Alhambra Ave
Martinez, CA 94553-3156
Martinez, CA 94553-3156
Phone 925-370-5200
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