JEFF P BLANKS MFT
NPI 1144244278
Marriage & Family Therapist in Tustin, CA
About Jeff P Blanks Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF P BLANKS MFT (NPI 1144244278) is an individual marriage & family therapist in Tustin, California, licensed in California (MFC25338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeff P Blanks Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeff Blanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSTIN, CA 92780
TUSTIN, CA 92780
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 Jeff Blanks's NPI number?
The NPI number for Jeff Blanks is 1144244278. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Jeff Blanks located?
Jeff Blanks practices at 17542 Irvine Blvd Suite F, Tustin, CA 92780. The listed phone number is (949) 525-3364.
What is Jeff Blanks's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jeff Blanks enrolled in Medicare?
Yes. Jeff Blanks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeff Blanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Blanks reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeff Blanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeff Blanks was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeff P Blanks, MFT · NPI 1144244278
Marriage & Family Therapist provider in Tustin, California. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1144244278 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC25338 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17542 IRVINE BLVD, SUITE F, Tustin, CA 92780-3155
- **Phone:** (949) 525-3364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144244278) · Data from the CMS NPPES public registry.