Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDRE ANTHONY BLAKE, P.A.
ActiveMR. ANDRE ANTHONY BLAKE, P.A. is a Surgical Physician Assistant healthcare provider located in REDLANDS, California. NPI 1588655682 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · REDLANDS, CA
Registration Details
- NPI Number
- 1588655682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.775887702523 yrs)
- Last Updated
- Feb 3, 2020
- License
-
PA16708 (CA)
Practice Information
- Address
-
2 W FERN AVEREDLANDS, CA, 923735916Browse CA providers · Browse ZIP 92373
- Phone
- 9097933311
- Fax
- 9093354190
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in REDLANDS, CA
| Name | Credential | NPI |
|---|---|---|
| MR. EDUARDO DY RONQUILLO | PA-C, PTA | 1891833786 |
| MAUREEN GERARD WARREN | PA-C | 1215238100 |
| MR. GERARDO ARREGUIN | P.A | 1033413455 |
| VERONICA JOY COEN | PA-C | 1588474076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.