Michael P Blasko in Newport Beach - Physician Assistant
Michael P Blasko - NPI 1124100300
Michael P Blasko is a Physician Assistant in Newport Beach, California. Michael P Blasko practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael P Blasko is 1124100300. The last update date is 2021-12-01.
Michael P Blasko's current location address is 4631 Teller Ave Ste 100, Newport Beach, California. You can contact this provider via phone number 9493357500 and fax number 9493871206. The mailing address for Michael P Blasko is 4631 Teller Ave Ste 100, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael P Blasko |
|---|---|
| Address | 4631 Teller Ave Ste 100, Newport Beach, California |
| Phone Number | 9493357500 |
| Fax Number | 9493871206 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1124100300 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 4631 Teller Ave Ste 100 |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926608105 |
| Phone Number | 9493357500 |
| Fax Number | 9493871206 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 00000PA17281 |
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Definition: 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 perfor |
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What is the unique identifier code issued to Michael P Blasko by the Centers for Medicare & Medicaid Services (CMS)?
The Michael P Blasko has been assigned the NPI (National Provider Identifier) 1124100300. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Michael P Blasko's specialty and taxonomy code?
The Michael P Blasko's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Michael P Blasko, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael P Blasko is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Michael P Blasko's 1124100300 issued?
The Michael P Blasko's 1124100300 was issued on 2006-10-19.
On what date did the Centers for Medicare & Medicaid Services issue the 1124100300 to Michael P Blasko?
The Michael P Blasko received its 1124100300 assignment from the Centers for Medicare & Medicaid Services on 2006-10-19.