Blossom Ridge Medical Group Inc
NPI 1538186275ActiveOrganization· Family Medicine· Los Gatos, CA
Family Medicine in Los Gatos, California, registered in NPPES in July 2006. The authorized official on file is Kim Lynn Hayes, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538186275 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Feb 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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