MEDICARE: DR. RICHARD R. BLOHM 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	207P00000X	Emergency Medicine Physician	G55120	CA
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	G55120	CA
3	207R00000X	Internal Medicine Physician	G55120	CA
4	207R00000X	Internal Medicine Physician	MD-14008	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821185802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD R. BLOHM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 276950
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-6950
Country	:	US
Telephone Number	:	530-750-5830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 SUTTER PL STE 101
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95616-6217
Country	:	US
Telephone Number	:	530-750-5830
Fax Number	:

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

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	03/11/2025

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Directions to “ DR. RICHARD R. BLOHM M.D.” Practice Location

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