MEDICARE: DR. DEAN BLUMBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G60479	CA
2	2080P0208X	Pediatric Infectious Diseases Physician	G60479	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G0604790	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1578545836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN BLUMBERG M.D.

Provider Business Mailing Address
First Line	:	2516 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2208
Country	:	US
Telephone Number	:	916-734-7618
Fax Number	:	916-734-7890

Provider Business Practice Location Address
First Line	:	2516 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2208
Country	:	US
Telephone Number	:	916-734-7618
Fax Number	:	916-734-7890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/06/2015

Similar Medicare Providers

1659212207 — DIANA ARREDONDO MD
Practice Location Address:

2516 STOCKTON BLVD
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-2428
Practice Fax:

1154323715 — MRS. MIKLA NINA DERLET MD
Practice Location Address:

2516 STOCKTON BLVD , DEPARTMENT OF PEDIATRICS
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-5387
Practice Fax: 916-456-2236

1902890023 — DR. LAVJAY BUTANI
Practice Location Address:

2516 STOCKTON BLVD , TICON II, 3RD FLOOR
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-8118
Practice Fax:

1689656928 — MS. LISA MARIE ASHLEY RN, PNP
Practice Location Address:

2516 STOCKTON BLVD , TICON LL
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-7618
Practice Fax: 916-734-7890

1023090206 — DR. JEANNY KIM PARK M.D.
Practice Location Address:

2516 STOCKTON BLVD
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-3589
Practice Fax: 916-734-0424

1932181567 — DR. RICHARD J.D. PAN MD, MPH
Practice Location Address:

2516 STOCKTON BLVD , UCD DEPARTMENT OF PEDIATRICS
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-1518
Practice Fax: 916-456-2236

Directions to “ DR. DEAN BLUMBERG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.