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  • Blue Shield Of California Provider Identification Number Application Form

Get Blue Shield Of California Provider Identification Number Application Form

Information on becoming "participating," contact Provider Services: (800) 258-3091 Section D Additional documentation required to process your application and issue a Provider Identification Number is detailed below. 1. If exempt from licensure, include proof of exemption. 2. If state licensure of certification is required in order for you to provide health care products or services, include a photocopy of the current valid state license and/or a photocopy of your license issued by the Depar.

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The billing provider's tax ID number (TIN) and NPI are always required on claims. Any other providers identified on the claim, such as rendering provider or service facility, must be identified with their NPI only. Their tax ID number should not be included.

Producer Services (800) 559-5905. Employer Services (800) 325-5166. Blue Shield of California. PO Box 272540. Chico, CA 95927-2540.

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. ... The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

Phone: 1-800-465-3203 or TTY 1-800-692-2326. E-mail: customerservice@npienumerator.com. Mail: NPI Enumerator. P.O. Box 6059. Fargo, ND 58108-6059.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232