1. Home
  2. Directory
  3. California
  4. Lodi
  5. Physician Assistant
  6. NPI Profile

RAYLENE BLANDINO P.A.
NPI 1083636401
Physician Assistant - Surgical in Lodi, CA

Active since July 24, 2006PECOS Enrolled
98.3/100
CMS Quality Rating
801 S HAM LN STE A, LODI, CA 95242(209) 333-3376 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raylene Blandino P.a. NPPES

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

RAYLENE BLANDINO P.A. (NPI 1083636401) is an individual surgical provider in Lodi, California and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1083636401
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameRAYLENE BLANDINOCredential: P.A.
Location Address801 S HAM LN STE ALodi, CA 95242-7502
Mailing Address50 S San Mateo Dr, #350San Mateo, CA 94401-3857
Phone(209) 333-3376
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1083636401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA16850 (CA)
801 S HAM LN STE A, Lodi, CA 95242
Open in Google Maps ↗

Secondary Practice Location 1

Location 150 S San Mateo Dr, #350San Mateo, CA 94401-3857 · Phone (650) 342-3225 · Fax (650) 342-3220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raylene Blandino P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES

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

FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC
Dermatology
801 S HAM LN STE A
LODI, CA 95242
San Joaquin County (209) 333-6110

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 Raylene Blandino's NPI number?

The NPI number for Raylene Blandino is 1083636401. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Raylene Blandino located?

Raylene Blandino practices at 801 S Ham Ln Ste A, Lodi, CA 95242. The listed phone number is (209) 333-3376.

What is Raylene Blandino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Raylene Blandino enrolled in Medicare?

Yes. Raylene Blandino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raylene Blandino was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.