Brian W Blake (NPI# 1295078608, PAC ID# 5698032985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1295078608 |
| PAC ID by PECOS | 5698032985 |
| Professional Enrollment ID | I20171121001955 |
| Full Name | Brian W Blake |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
7300 N Fresno St Fresno CA 93720-2941 |
| Phone Number | 5594484500 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050710 | KAISER FOUNDATION HOSPITAL - FRESNO |
| 050060 | COMMUNITY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7300 N Fresno St, Fresno, CA 93720-2941 | 5594484500 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
7300 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip | 93720-2941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro De La Parra Landa | Family Medicine | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Joseph J Lum | Diagnostic Radiology | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Sebouh P Krioghlian | Family Medicine | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Kenneth K Latt | Internal Medicine | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Sahil Mehta | Cardiovascular Disease (cardiology) | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Anne C Kim | Diagnostic Radiology | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Ariel C Rosa | Family Medicine | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Dee A Lacy | Infectious Disease | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Peter Jun | Diagnostic Radiology | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Reimarie R Pineda | Internal Medicine | Permanente Medical Group Inc | 7300 N Fresno St, Fresno, CA 93720-2941 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Gillian | Plastic and Reconstructive Surgery | 1193 E Herndon, Suite 106, Fresno, CA 93720 | |
| Hongshik Han | Plastic and Reconstructive Surgery | 7005 N Maple, Suite 107, Fresno, CA 93720 | |
| Mari Jo Hanson | Physician Assistant | Urology Associates of Central California Med Grp, Inc | 7014 N Whitney, Fresno, CA 93720-0153 |
| Berhane Mebratu | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Yuk-yuen M Leung | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Steven M Kurtzman | Radiation Oncology | Western Radiation Oncology Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Peter J Garcia | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Kuldip J Behniwal | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| John C Julian | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| William M Schiff | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Find all physicians in zip 93720 | |||
| City | FRESNO |
| Zip Code | 93720 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FRESNO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian W Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.