Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitchell Edward Blum, MD

Individual provider Otolaryngology Physician · NPI 1770586448

Dr. Mitchell Edward Blum, MD is an Otolaryngology in Tracy, California. Graduated from Hahnemann University College of Medicine in 1968, 58 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
58
Trained at
Hahnemann University College of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2160 W Grantline Rd Ste 250
Tracy, CA 95377
Phone: (209) 834-0626
Fax: (209) 834-1814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G25010 (CA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence G25010 (CA)

Record details

NPI number1770586448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2005
Last updated in NPPESApril 30, 2015
Mailing address15 Oval Rd, Oakland, CA 94611

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1968 (58 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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