1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BLAISE CHERIE EVERSOLE
NPI 1194685206
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since November 12, 2025
2120 W WILLIAMS ST, LONG BEACH, CA 90810(562) 388-8118 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaise Cherie Eversole NPPES

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

BLAISE CHERIE EVERSOLE (NPI 1194685206) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1194685206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBLAISE CHERIE EVERSOLE
Location Address2120 W WILLIAMS STLong Beach, CA 90810-3636
Mailing Address2106 E Bermuda St Apt 206Long Beach, CA 90814-6066
Phone(562) 388-8118
Sole ProprietorNo
Enumeration DateNovember 12, 2025
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1194685206 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.
2120 W WILLIAMS ST, Long Beach, CA 90810
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

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

KATHLEEN MICHAEL LOW
Student in an Organized Health Care Education/Training Program
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
KELLY SIMS
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
RUDOLPH PARTIDA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
MR. LEVI RAHSAN STANSBERRY
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (323) 802-3673
GILBERTO RADAMES PADILLA ZUNIGA
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
JONATHAN JAMES CHASE IN WINTER
Counselor (Addiction (Substance Use Disorder))
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 388-8118
PHILLIP REED JR.
Case Manager/Care Coordinator
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 583-4979
CLAIRE KOBREN LCSW
Social Worker (Clinical)
2120 W WILLIAMS ST
LONG BEACH, CA 90810
Los Angeles County (562) 625-3523

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 Blaise Eversole's NPI number?

The NPI number for Blaise Eversole is 1194685206. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Blaise Eversole located?

Blaise Eversole practices at 2120 W Williams St, Long Beach, CA 90810. The listed phone number is (562) 388-8118.

What is Blaise Eversole'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 Blaise Eversole was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.