BLAIR H. RACKER D.D.S.
NPI 1013320654
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since June 10, 2014Opted out of Medicare · through Sep 28, 2027
11234 ANDERSON ST, LLU MEDICAL CENTER: ORAL AND MAXILLOFACIAL SURGERY, LOMA LINDA, CA 92354(909) 558-4671 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blair H. Racker D.d.s. NPPES

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

BLAIR H. RACKER D.D.S. (NPI 1013320654) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since June 2014. He has opted out of Medicare through September 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013320654
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAIR H. RACKERCredential: D.D.S.
Location Address11234 ANDERSON ST, LLU MEDICAL CENTER: ORAL AND MAXILLOFACIAL SURGERYLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (801) 660-9300
Sole ProprietorNo
Enumeration DateJune 10, 2014
NPI 1013320654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

11234 ANDERSON ST, Loma Linda, CA 92354

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Blair H. Racker D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2021 through September 28, 2027.

Opt-Out Effective DateSeptember 28, 2021
Opt-Out In Effect ThroughSeptember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Blair Racker's NPI number?

The NPI number for Blair Racker is 1013320654. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Blair Racker located?

Blair Racker practices at 11234 Anderson St Llu Medical Center: Oral And Maxillofacial Surgery, Loma Linda, CA 92354. The listed phone number is (909) 558-4671.

What is Blair Racker's specialty?

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

Is Blair Racker enrolled in Medicare?

No. Blair Racker has opted out of Medicare through September 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Blair Racker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 14 other insurers list Blair Racker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blair Racker was last updated on June 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.