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MICHAEL P BLASKO PA
NPI 1124100300
Physician Assistant in Newport Beach, CA

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660(949) 335-7500(949) 387-1206 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael P Blasko Pa NPPES

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

MICHAEL P BLASKO PA (NPI 1124100300) is an individual physician assistant in Newport Beach, California, licensed in California (00000PA17281) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124100300
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL P BLASKOCredential: PA
Location Address4631 TELLER AVE STE 100Newport Beach, CA 92660-8105
Mailing Address4631 Teller Ave Ste 100Newport Beach, CA 92660-8105 · (949) 335-7500 · Fax (949) 387-1206
Phone(949) 335-7500
Fax(949) 387-1206
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 19, 2006
Last NPPES UpdateDecember 1, 2021
✔ NPI 1124100300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 00000PA17281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4631 TELLER AVE STE 100, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael P Blasko Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931151362
PECOS Enrollment IDI20050214001019
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

CHELSEA VILICICH PA-C
Physician Assistant
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
HASTI ZAND
Psychologist
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
OLIVIA TAYLOR TRECASO
Nurse Practitioner (Psychiatric/Mental Health)
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
NIMISHA JAIN PA
Psychiatry & Neurology (Psychiatry)
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
TANNAZ JOURABCHIAN PA
Physician Assistant
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
DR. PAIGE SPARKS PSYD
Student in an Organized Health Care Education/Training Program
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
MR. MAX CHRISTOPHER KUPFERMAN PA-C
Physician Assistant
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
SARAH REZAEE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4631 TELLER AVE STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187

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 Michael P Blasko's NPI number?

The NPI number for Michael P Blasko is 1124100300. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Michael P Blasko located?

Michael P Blasko practices at 4631 Teller Ave Ste 100, Newport Beach, CA 92660. The listed phone number is (949) 335-7500.

What is Michael P Blasko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael P Blasko enrolled in Medicare?

Yes. Michael P Blasko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael P Blasko was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.