Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BLACKMON
ActiveJUSTIN BLACKMON is a Physician Assistant healthcare provider located in LA JOLLA, California. NPI 1699182832 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LA JOLLA, CA
Registration Details
- NPI Number
- 1699182832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2014 (12.058962389392 yrs)
- Last Updated
- Oct 31, 2016
- Licenses
-
PA031058 (DC)085.005596 (IL)53958 (CA)
Practice Information
- Address
-
9888 GENESEE AVELA JOLLA, CA, 920371205Browse CA providers · Browse ZIP 92037
- Phone
- 8586264123
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER E SADLER | P.A. | 1306838842 |
| JOSE LUIS RUIZ | P.A. | 1235122961 |
| MRS. ABHA M BOSWORTH | PA | 1629067053 |
| HEATHER C. BONAGUIDI | P.A. | 1669458691 |
| DANIEL J. COLLINS | P.A. | 1548247158 |
| DORIS H. ELIAS | P.A. | 1457338089 |
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.