DR. CATRINA PATRICIA BLAKE (NPI# 1205472115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205472115 |
| Entity Type | Individual |
| Full Name | DR. CATRINA PATRICIA BLAKE |
| Credential | FNP |
| Practice Address |
101 S San Mateo Dr San Mateo CA 94401-3819 |
| Mailing Address |
2755 S Norfolk St Apt 309 San Mateo CA 94403-1673 |
| Practice Telephone | 6507556400 |
| Practice Fax Number | 6507556403 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F08190605 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | Y6326908 | 01 |
| Street Address |
101 S SAN MATEO DR |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1710425921 | Comprehensive Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr, Suite 212, San Mateo, CA 94401-3819 | 2017-02-08 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1104201334 | San Mateo Rheumatology Inc. | Internal Medicine | 101 S San Mateo Dr, Suite 307, San Mateo, CA 94401-3819 | 2015-07-29 |
| 1265845077 | Aaron Kwan | Optometrist | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2014-06-09 |
| 1699111617 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 101 S San Mateo Dr, Suite 202, San Mateo, CA 94401-3819 | 2013-05-16 |
| 1548599145 | Peninsula Spine & Sports Rehab, A Rommel Hindocha Chiropractic Corp. | Chiropractor | 101 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3819 | 2009-12-10 |
| 1194959569 | Dale Jacknow | Pediatrics | 101 S San Mateo Dr, Suite 208, San Mateo, CA 94401-3819 | 2009-05-13 |
| 1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| 1669613139 | Campus Physical Therapy Inc | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659930972 | Angelina Logarta | Nurse Practitioner | 66 Bovet Rd Ste 105, San Mateo, CA 94402-3126 | 2019-06-10 |
| 1558801837 | The Pill Club Medical Group, Inc | Nurse Practitioner | 411 Borel Avenue, # 100, San Mateo, CA 94402-3522 | 2017-03-06 |
| 1821556762 | Elizabeth Hisashima | Nurse Practitioner | 100 S San Mateo Dr, San Mateo, CA 94401 | 2019-03-11 |
| 1285122499 | Michelle Lee | Nurse Practitioner | 100 S San Mateo Dr, San Mateo, CA 94401 | 2018-04-24 |
| 1851811244 | Jill Bryon | Nurse Practitioner | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401-3833 | 2017-06-26 |
| 1710346937 | Denise Mildred Lee | Nurse Practitioner | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2016-02-16 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1538390687 | Janet M Hall | Nurse Practitioner | 218 De Anza Blvd, San Mateo, CA 94402-3913 | 2009-08-06 |
| 1063657906 | Mary Teresa Ramirez | Nurse Practitioner | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2008-12-05 |
| 1235374174 | Danamaya Gorham | Nurse Practitioner | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2008-12-05 |
| Find all providers in SAN MATEO | ||||
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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.