KERI BLASINGAME


Address: 4980 Barranca Parkway Suite 200, Irvine, CA 92604
Phone: 9497865050

KERI BLASINGAME (NPI# 1184016230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184016230
Entity Type Individual
Full Name KERI BLASINGAME
Credential NP
Practice Address 4980 Barranca Parkway Suite 200
Irvine
CA 92604
Mailing Address 32932 Pacific Coast Highway #14-467
Dana Point
CA 92629
Practice Telephone 9497865050
Enumeration Date 2015-02-26
Last Update Date 2015-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8626 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4980 BARRANCA PARKWAY SUITE 200
City IRVINE
State CA
Zip Code 92604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003417643 New Skin and Body Aesthetics Inc Internal Medicine 4980 Barranca Parkway, 201, Irvine, CA 92604 2020-11-02
1679091144 Alan Chang Pharmacist 5385 Alton Parkway, Irvine, CA 92604 2017-09-06
1942751599 Haleh Ranjijifroody Chiropractor 4980 Barranca Parkway Unit 200, Irvine, CA 92604 2016-10-19
1265982136 Nora M Balke Nurse Practitioner 4968 Booth Cir Ste 110, Irvine, CA 92604 2016-10-04
1679945612 Cvs Pharmacy Pharmacist 15333 Culver Drive, Suite 300, Irvine, CA 92604 2015-10-29
1679979827 Oc Women's Health,apc Obstetrics & Gynecology 14252 Culver Drive Suite A 499, Irvine, CA 92604 2014-11-17
1326443920 Peter Sumarsono Professional Dental Corporation Preferred Provider Organization 4605 Barranca Parkway., 200, Irvine, CA 92604 2014-10-27
1164832218 Abdiel Noe Hernandez Driver 14252 Culver Drive Ste A, Irvine, CA 92604 2014-04-29
1811315781 Trisha Sharma Internal Medicine 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 2014-03-28
1518251024 Bristol Pharmacy Pharmacy 250 East Yale Loop, Suite C, Irvine, CA 92604 2011-06-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447866132 Lisa Yoensil Yoon Park Nurse Practitioner 9204 Esperanza, Irvine, CA 92618-1749 2020-09-18
1922613702 Jennifer Elbel Hill Nurse Practitioner 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618-3722 2020-09-09
1649898743 Aimee Johanna Rodriguez Nurse Practitioner 3237 Grand Canal, Irvine, CA 92620-1707 2020-07-06
1407318314 Marlon Herrera Carpio Nurse Practitioner 17 Pacific Crst, Irvine, CA 92602-2408 2019-04-01
1316404007 Annie Tak Nurse Practitioner 2 Hughes Ste 150, Irvine, CA 92618-2036 2019-02-28
1164998886 Ashkan Bastani Nurse Practitioner 9 Mecklenberg, Irvine, CA 92620-2727 2018-10-19
1174001507 Melanie Bernus Tallakson Nurse Practitioner 1100 Gottschalk Medical Plaza, Irvine, CA 92697 2018-07-28
1003322306 Katherine Lin Matsumoto Nurse Practitioner 250 E Yale Loop Ste 204, Irvine, CA 92604-4697 2017-12-21
1518481431 Nueva Parazo Singian Nurse Practitioner 7725 Gateway Unit 1239, Irvine, CA 92618-1573 2017-08-02
1861920191 Sindu Shelly Nurse Practitioner 23 Poppy, Irvine, CA 92618-6922 2017-05-31
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Competitor

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City IRVINE
Zip Code 92604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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