DR. BLAKE R THOMPSON MD
NPI 1043308471
Physical Medicine & Rehabilitation in San Diego, CA

Active since October 11, 2006Opted out of Medicare · through Sep 4, 2027CLIA 05D2014452 · Waiver
9040 FRIARS RD, SUITE 400, SAN DIEGO, CA 92108(619) 284-6377(619) 528-2841 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2017, Sep 20, 2016 (2 updates tracked since 2016).

About Dr. Blake R Thompson Md NPPES

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

DR. BLAKE R THOMPSON MD (NPI 1043308471) is an individual physical medicine & rehabilitation provider in San Diego, California, licensed in California (G60675) and active in the NPI registry since October 2006. He has opted out of Medicare through September 4, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through October 10, 2026.

NPPES Registry Identity

NPI1043308471
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. BLAKE R THOMPSONCredential: MD
Location Address9040 FRIARS RD, SUITE 400San Diego, CA 92108-5680
Mailing Address9040 Friars Rd, Suite 400San Diego, CA 92108-5680 · (619) 284-6377 · Fax (619) 528-2841
Fax(619) 528-2841
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 1, 20172 updates tracked since enumeration
NPI 1043308471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · G60675
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License G60675 (CA)
9040 FRIARS RD, San Diego, CA 92108

Other Identifiers 1

Medicare UPINE67056

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Blake R Thompson Md 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 4, 2015 through September 4, 2027.

Opt-Out Effective DateSeptember 4, 2015
Opt-Out In Effect ThroughSeptember 4, 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2014452

Blake R Thompson, MD Inc · San Diego, CA
Active · expires Oct 10, 2026
CLIA Number05D2014452
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorBlake R. Thompson
Laboratory Phone(619) 284-6377
Laboratory LocationBlake R Thompson, MD Inc9040 Friars Rd Ste 400, San Diego, CA 92108
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Chiropractor
9040 FRIARS RD, STE 400
SAN DIEGO, CA 92108
Psychologist
9040 FRIARS RD, SUITE 400
SAN DIEGO, CA 92108
Psychologist
9040 FRIARS RD, SUITE 400
SAN DIEGO, CA 92108
Obstetrics & Gynecology (Gynecology)
9040 FRIARS RD, SUITE 540
SAN DIEGO, CA 92108
Psychologist (Clinical)
9040 FRIARS RD, STE 420
SAN DIEGO, CA 92108
Physician Assistant
9040 FRIARS RD, SUITE 400
SAN DIEGO, CA 92108
Physician Assistant
9040 FRIARS RD, STE. 230
SAN DIEGO, CA 92108
Orthopaedic Surgery
9040 FRIARS RD, SUITE 230
SAN DIEGO, CA 92108

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 Blake Thompson's NPI number?

The NPI number for Blake Thompson is 1043308471. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Blake Thompson located?

Blake Thompson practices at 9040 Friars Rd Suite 400, San Diego, CA 92108. The listed phone number is (619) 284-6377.

What is Blake Thompson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Blake Thompson enrolled in Medicare?

No. Blake Thompson has opted out of Medicare through September 4, 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.

Does Blake Thompson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2014452) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blake Thompson was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.