LORNA BLAND, MD — NPI 1124079686 (Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) in SAN LEANDRO, CA)

CMS-1500 Box 24J / 33a • NPI

1124079686

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2084P0800X (CMS 26)

Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)

Box 32 Service Location & ZIP+4

2045 FAIRMONT DR, SAN LEANDRO, CA, 94578-1088

✓ 9-Digit EDI 837 ZIP+4 (94578-1088)

Practice Phone & Referral Fax

(251) 363-1833

Fax: (866) 425-3077

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124079686 (LORNA BLAND, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124079686` (NPI-1 Individual Practitioner)
Provider / Legal Name	LORNA BLAND, MD
Plain-English Specialty	Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: `2084P0800X` (Psychiatry & Neurology, Psychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	2045 FAIRMONT DR, SAN LEANDRO, CA, 94578-1088
Practice Telephone / Fax	Tel: (251) 363-1833 \| Fax: (866) 425-3077
Administrative Mailing Address	RR 4 BOX 321, BREWTON, AL, 36426-9218
Enumeration & Last Sync	Enumerated: 2006-05-12 \| CMS Record Updated: 2022-10-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2045 FAIRMONT DR, SAN LEANDRO, CA, 94578-1088

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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)

What Does Taxonomy Code 2084P0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 26 (Physician/Psychiatry) • CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Depression, generalized anxiety, panic attacks, insomnia, bipolar disorder, OCD, PTSD, or medical recovery from substance dependence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LORNA BLAND, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
Psychopharmacological Management & Supportive Psychotherapy
Medication-Assisted Treatment (MAT) for Substance Use Disorders

Common Therapeutic Classes:

SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: AL \| License: `25119` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: CA \| License: `C166993` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LORNA BLAND, MD (NPI #1124079686)