MS. MELISSA BETH BLAKE (NPI# 1740655653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740655653 |
| Entity Type | Individual |
| Full Name | MS. MELISSA BETH BLAKE |
| Credential | PA-C |
| Practice Address |
2176 Salk Ave Carlsbad CA 92008 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 7609015100 |
| Practice Fax Number | 7608277425 |
| Mailing Telephone | 7609015100 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53050 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425651 | Melissa Lynn Blake | Nurse Practitioner | 8200 W 71st St Ste 135, Shawnee Mission, KS 66204-1715 | 2019-03-07 |
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1356762298 | Melissa S. Blake | Licensed Practical Nurse | 58 Ethan Cir, Middle Island, NY 11953-2644 | 2013-12-19 |
| 1972052157 | Melissa Blake | Speech-Language Pathologist | 1924 W A St, Hastings, NE 68901-5650 | 2016-09-28 |
| 1801275946 | Melissa Kathleen Blake | Dentist | 1924 Route 70 E, Cherry Hill, NJ 08003 | 2015-05-21 |
| 1548507882 | Melissa Blake | Counselor | 2825 Santa Monica Blvd, Suite 100, Santa Monica, CA 90404-2429 | 2013-01-07 |
| 1770734048 | Melissa Elaine Blake | Social Worker | 60 Perserverance Way, Hyannis, MA 02601-1843 | 2008-10-06 |
| Street Address |
2176 SALK AVE |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812585 | Heather L Silverberg | Pediatrics | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2006-06-21 |
| 1487208252 | Jade Lequinn Sekeres | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2019-07-30 |
| 1447710918 | Hailey Elizabeth Stritzke | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2019-03-21 |
| 1649757683 | Christine E. Abel | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2018-07-23 |
| 1962929281 | Svetlana Lana Hezkiya | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008 | 2017-08-28 |
| 1942724042 | Helen Semere Tesfai | Physician Assistant | 2176 Salk Ave, Carlsbad, CA 92008 | 2017-07-31 |
| 1043769367 | Jessica Lacy | Physician Assistant | 2176 Salk Ave, Carlsbad, CA 92008 | 2016-09-27 |
| 1043612294 | Jill Marie Montillano | Registered Nurse | 2176 Salk Ave, Carlsbad, CA 92008 | 2014-09-18 |
| 1255732160 | Maily Truong Nguyen | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2014-09-10 |
| 1891194700 | Elizabeth Caitlin Macisaac | Nurse Practitioner | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2014-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056475 | Ryan Gregory Ansari | Physician Assistant | 1013 Daisy Ave, Carlsbad, CA 92011-4818 | 2019-04-29 |
| 1134573140 | Lindsey Kelley | Physician Assistant | 7111 El Fuerte St, Carlsbad, CA 92009-6515 | 2016-04-15 |
| 1609029867 | Vivian W Carlton | Physician Assistant | 6260 El Camino Real Ste 101, Carlsbad, CA 92009-1609 | 2008-10-30 |
| 1720032717 | Carl J Yujuico | Physician Assistant | 5810 El Camino Real Ste A, Carlsbad, CA 92008-8819 | 2006-05-22 |
| 1912566910 | Kimberly Phan | Physician Assistant | 2176 Salk Ave Ste 200, Carlsbad, CA 92008 | 2019-06-12 |
| 1245792399 | Brynn Babette Waddington | Physician Assistant | 2524 La Costa Ave, Carlsbad, CA 92009-7321 | 2019-04-05 |
| 1770028722 | Jessica Elise Savic | Physician Assistant | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219 | 2016-12-29 |
| 1144604190 | Kristy Schroll | Physician Assistant | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219 | 2015-07-18 |
| 1578964698 | Christopher Stiglets | Physician Assistant | 2430 W Pierce St, Carlsbad, NM 88220 | 2014-09-08 |
| 1851732960 | Christian John Wigfall | Physician Assistant | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219 | 2013-07-17 |
| Find all providers in CARLSBAD | ||||
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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.