PATRICK W BLAKE


Address: 501 Washington St, Suite 502, San Diego, CA 92103-2231
Phone: 6195420013

PATRICK W BLAKE (NPI# 1871817312) 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) 1871817312
Entity Type Individual
Full Name PATRICK W BLAKE
Credential MD
Practice Address 501 Washington St
Suite 502
San Diego
CA 92103-2231
Practice Telephone 6195420013
Mailing Telephone 6195420013
Enumeration Date 2010-03-25
Last Update Date 2017-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology P3510 TX Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology A130951 CA Allopathic & Osteopathic Physicians

Other Providers PATRICK BLAKE

NPI Name Taxonomy Address Enumeration
1780821413 Patrick Joseph Blake IIi Hearing Instrument Specialist 1321 W Sunset Rd Ste 110, Henderson, NV 89014-6768 2009-01-16

Office Location

Street Address 501 WASHINGTON ST
SUITE 502
City SAN DIEGO
State CA
Zip Code 92103-2231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194726117 Daniel J. Bressler, M.d., Inc. Internal Medicine 501 Washington St, Suite 705, San Diego, CA 92103-2231 2005-08-02
1639686496 Marie Melanie Deetjen Nurse Practitioner 501 Washington St, San Diego, CA 92103-2231 2018-01-03
1629518246 Chin Jung Jien Chang Nurse Practitioner 501 Washington St, San Diego, CA 92103-2231 2017-03-01
1013459478 Amy Rosenbaum Physician Assistant 501 Washington St, San Diego, CA 92103-2231 2016-11-15
1295100683 Felicity Nga Ying Fung Nurse Practitioner 501 Washington St, Suite 512, San Diego, CA 92103-2231 2015-12-10
1932505831 Hilary Beth Hill Nurse Practitioner 501 Washington St, Suite 600, San Diego, CA 92103-2231 2014-11-05
1063834331 Karissa Bartholme Physician Assistant 501 Washington St, San Diego, CA 92103 2014-01-06
1447695465 San Diego Heart Rhythm Center A Medical Corporation Internal Medicine 501 Washington St, Suite 512, San Diego, CA 92103-2231 2013-05-03
1578883971 Leonard S Bernstein M D Inc Internal Medicine 501 Washington St, #508, San Diego, CA 92103-2231 2010-06-08
1275866931 Steven C. Wong M.d., Apc Internal Medicine 501 Washington St, Suite 508, San Diego, CA 92103-2231 2009-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497399141 Dermatology Specialists Inc Dermatology 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 2019-11-05
1306405998 Mismo Dermatology Group Apc Dermatology 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 2019-06-07
1609361740 Seaver Soon Md Inc Dermatology 2044 W California St, San Diego, CA 92110-2121 2018-06-29
1700240249 Alexandra Edelman Dermatology 3965 5th Ave Ste 200, San Diego, CA 92103-3107 2016-04-11
1033572391 Lauren Metterle Dermatology 3020 Childrens Way # 5092, San Diego, CA 92123-4223 2016-04-03
1225493323 Jeanette Jacknin Dermatology 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 2015-12-16
1417330432 Eugene Tachuk Dermatology 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 2015-07-08
1508203563 Monica Boen Dermatology 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 2013-05-31
1619311164 David Otto Schairer Dermatology 8010 Frost St Ste 602, San Diego, CA 92123 2013-04-25
1295037760 Susan Ann Kincaid Dermatology 1951 4th Ave Ste 202, San Diego, CA 92101-2374 2010-12-03
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Competitor

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City SAN DIEGO
Zip Code 92103

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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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