| Nicholas Blakely, PA-C | |
|
30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-1585 | |
| (949) 443-4303 | |
| (949) 443-4033 |
| Full Name | Nicholas Blakely |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275345753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 66041 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Blakely, PA-C Po Box 7087, Orange, CA 92863-7087 Ph: (714) 571-5000 | Nicholas Blakely, PA-C 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-1585 Ph: (949) 443-4303 |
Mayge Lee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 30300 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-240-2272 | |
Brynn Christin Bailey, MS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 31897 Del Obispo St Ste 115, San Juan Capistrano, CA 92675 Phone: 949-429-3200 Fax: 949-429-3600 | |
Monique Hutchinson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 31473 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675 Phone: 949-388-0315 | |
Jennifer Bianca Vincent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31001 Rancho Viejo Rd #200, San Juan Capistrano, CA 92675 Phone: 949-661-9600 Fax: 949-443-6200 | |
Mr. Matthew R Biasca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31001 Rancho Viejo Road, Ste. 200, San Juan Capistrano, CA 92675 Phone: 949-661-9600 Fax: 949-443-6200 | |
Ms. Kathleen C Alva, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31001 Rancho Viejo Rd., Suite 200, San Juan Capistrano, CA 92675 Phone: 949-661-9611 Fax: 949-443-6200 |