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BLAKE MOSHER
NPI 1124967880
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 27, 2026
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blake Mosher NPPES

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

BLAKE MOSHER (NPI 1124967880) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1124967880
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE MOSHER
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address17635 Black Oak CtMorgan Hill, CA 95037-9442
Phone(858) 576-1700
Sole ProprietorNo
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1124967880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
3020 CHILDRENS WAY, San Diego, CA 92123
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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.

DR. NATALIE E. ELLINGTON MD
Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5944
SHANNA MICHAEL MILLER-NABAS RDN
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. ADRIANA HERRERA TREMOULET M.D.
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-7785
LORI MCCURDY M.S., CCC-SLP
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
San Diego County (858) 968-5838
MS. ANN M SUMIDA-JOHNSON M.A..
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
San Diego County (858) 966-5838
RICHARD JOHN NEWTON M.D.
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. SHAHFAR KHAN M.D.
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800
CARLY BETH WELCH CPNP-AC
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800

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 Mosher's NPI number?

The NPI number for Blake Mosher is 1124967880. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Blake Mosher located?

Blake Mosher practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.

What is Blake Mosher's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Mosher was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.