DR. BLAKE R THOMPSON MD
NPI 1043308471
Physical Medicine & Rehabilitation in San Diego, CA
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
Specialties & Licenses 2
Other Identifiers 1
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.
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, CAOther Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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.