1. Home
  2. Directory
  3. California
  4. San Diego
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. KERON ROHAN BLACKFORD
NPI 1003794819
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since August 21, 2025
1465 30TH ST STE K, SAN DIEGO, CA 92154(619) 428-1000(619) 428-1091 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keron Rohan Blackford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KERON ROHAN BLACKFORD (NPI 1003794819) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1003794819
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KERON ROHAN BLACKFORD
Location Address1465 30TH ST STE KSan Diego, CA 92154-3497
Mailing Address1465 30th St Ste KSan Diego, CA 92154-3497 · (619) 428-1000 · Fax (619) 428-1091
Phone(619) 428-1000
Fax(619) 428-1091
Sole ProprietorNo
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1003794819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1465 30TH ST STE K, San Diego, CA 92154
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIARRA PATRECE HAYNES
Counselor (Mental Health)
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
CHRISTINE ELIZABETH MIRANDA
Rehabilitation Practitioner
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
MS. ALEXIS ROACH
Student in an Organized Health Care Education/Training Program
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
ELIZABETH BARAJAS
Counselor (Mental Health)
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
DIANA ALEXANDRA ARIAS PENUELA
Marriage & Family Therapist
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1091
KAREN ESPINOSA
Rehabilitation Counselor
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
JULIANA IRENE ABERCROMBIE
Counselor (Mental Health)
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000
MRS. LAUREN ELIZABETH JONES LMFT
Marriage & Family Therapist
1465 30TH ST STE K
SAN DIEGO, CA 92154
San Diego County (619) 428-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keron Blackford's NPI number?

The NPI number for Keron Blackford is 1003794819. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Keron Blackford located?

Keron Blackford practices at 1465 30th St Ste K, San Diego, CA 92154. The listed phone number is (619) 428-1000.

What is Keron Blackford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keron Blackford was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.