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

Michael R. Blum, MD

Individual provider Emergency Medicine Physician · NPI 1649229816

Michael R. Blum, MD is an Emergency Medicine in Victorville, California. Graduated from University of California, Irvine, California College of Medicine in 1995, 31 years ago. Practices with Vituity-Nevada Medical Services Koury and Partners PC, a 64-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
31
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15248 11th St Emergency Dept
Victorville, CA 92395-3704
Phone: (760) 245-8691
Fax: (760) 843-6020
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 19575 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A61247 (CA)

Record details

NPI number1649229816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2006
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address4551 Glencoe Ave, Suite 260, Marina Del Rey, CA 90292-6385

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Vituity-Nevada Medical Services Koury And Partners Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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