KENNETH BLAKE (NPI# 1013933589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013933589 |
| Entity Type | Individual |
| Full Name | KENNETH BLAKE |
| Credential | H.I.S. |
| Practice Address |
39000 Bob Hope Drive Probst 315 Rancho Mirage CA 92270-3221 |
| Practice Telephone | 7606256616 |
| Practice Fax Number | 4426663766 |
| Mailing Telephone | 7606256616 |
| Mailing Fax Number | 4426663766 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC17237 | CA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | DC172371 | CA | Chiropractic Providers |
| Y | 237700000X | Hearing Instrument Specialist | HA7407 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INSURANCE COMPANIES | DC172371 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851818389 | Kenneth J Blake | Driver | 7115 North Ave # 317, Oak Park, IL 60302-1002 | 2017-08-25 |
| 1215222393 | Kenneth Blake | Behavioral Analyst | 2470 Wrondel Way, Suite 150b, Reno, NV 89502-3701 | 2011-06-16 |
| 1346396264 | Kenneth Erwin Blake | Dentist | 3400 Sw 187th Ave, Suite 2, Aloha, OR 97006-3131 | 2007-01-25 |
| 1851444012 | Kenneth Aaron Blake | Counselor | 2600 W 9th St, 4th Flr, Chester, PA 19013-2040 | 2007-01-19 |
| 1174622070 | Kenneth D Blake | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2006-09-21 |
| Street Address |
39000 BOB HOPE DRIVE PROBST 315 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811318462 | Craig Whitcomb | Hearing Instrument Specialist | 42410 Bob Hope Dr Ste 1, Rancho Mirage, CA 92270-4468 | 2013-12-29 |
| 1104949957 | Russell Martin Foss | Hearing Instrument Specialist | 42382 Bob Hope Dr., Rancho Mirage, CA 95227 | 2007-04-09 |
| 1124149315 | Timothy P Liddy | Hearing Instrument Specialist | 42382 Bob Hope Drive, Rancho Mirage, CA 92270 | 2007-04-03 |
| 1093211872 | Lorie Whitcomb | Hearing Instrument Specialist | 42410 Bob Hope Dr Ste 1, Rancho Mirage, CA 92270-4468 | 2018-04-02 |
| 1073900023 | Katrina Cox | Hearing Instrument Specialist | 40101 Monterey Ave, Ste E2, Rancho Mirage, CA 92270-3263 | 2015-04-16 |
| 1548548795 | Bighorn Hearing Aid Center, Inc | Hearing Instrument Specialist | 39000 Bob Hope Drive, Probst 202, Rancho Mirage, CA 92270-3221 | 2011-07-21 |
| 1598094260 | Christina A Campbell | Hearing Instrument Specialist | 42382 Bob Hope Drive, Rancho Mirage, CA 92270 | 2009-12-09 |
| 1154659472 | Carole A Van Straten | Hearing Instrument Specialist | 72301 Country Club Dr, Ste 112, Rancho Mirage, CA 92270-8007 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1497368450 | Edwin Van Capelle | Hearing Instrument Specialist | 15758 La Forge St, Whittier, CA 90603-2334 | 2020-08-28 |
| 1538779830 | Elizabeth Guadalupe Barragan | Hearing Instrument Specialist | 1101 W Tokay St Ste 4, Lodi, CA 95240-3842 | 2020-08-03 |
| 1306474366 | Andy Zavala | Hearing Instrument Specialist | 450 Fourth Ave Ste 300, Chula Vista, CA 91910-4429 | 2020-03-27 |
| 1518594266 | Trinity Hearing Aid, Inc | Hearing Instrument Specialist | 16575 Brookhurst St, Fountain Valley, CA 92708-2337 | 2020-03-24 |
| 1891321964 | Barry Nabors | Hearing Instrument Specialist | 3395 S Bascom Ave Ste 100, Campbell, CA 95008-6770 | 2020-03-20 |
| 1720613169 | Sabrina Ko | Hearing Instrument Specialist | 2895 Loma Vista Rd Ste D, Ventura, CA 93003-1527 | 2020-03-05 |
| 1891329553 | Christina Marie Garcia | Hearing Instrument Specialist | 1079 Eucalyptus St Ste B, Manteca, CA 95337-4317 | 2020-03-02 |
| 1174157812 | Peter Paul Vidal | Hearing Instrument Specialist | 2031 W Alameda Ave Ste 340, Burbank, CA 91506-2960 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| 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.