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MR. BLAINE CHRISTOPHER VAN AUSDELN FNP-C, M.S.
NPI 1194720144
Nurse Practitioner - Family in Stockton, CA

Active since June 16, 2005
7373 WEST LN, STOCKTON, CA 95210(209) 476-3569(209) 476-3675 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Blaine Christopher Van Ausdeln Fnp-c, M.s. NPPES

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

MR. BLAINE CHRISTOPHER VAN AUSDELN FNP-C, M.S. (NPI 1194720144) is an individual family provider in Stockton, California, licensed in California (326768/4523) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1194720144
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BLAINE CHRISTOPHER VAN AUSDELNCredential: FNP-C, M.S.
Location Address7373 WEST LNStockton, CA 95210-3377
Mailing Address7373 West LnStockton, CA 95210-3377 · (209) 476-3569 · Fax (209) 476-3675
Phone(209) 476-3569
Fax(209) 476-3675
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1194720144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 326768/4523
7373 WEST LN, Stockton, CA 95210
Open in Google Maps ↗

Other Identifiers 3

Medicare PINZZZ23733ZCA
Medicare UPINP19869CA
OtherRN326768CA · Medical Provider Id

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. SYLVIA FERNANDES M.D.
Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
AMPARO ROMERO-HIRAHARA MD
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DHIREN V. NANAVATI MD
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DR. LUIS CYRUS MONTES DE OCA DO
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
MISS ROSARIO AGUIRRE RD
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-5186
XING-JIAN LU MD
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DINAH J. HANNA MD
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
MOSES ELAM MD
Dermatology
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000

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 Blaine Van Ausdeln's NPI number?

The NPI number for Blaine Van Ausdeln is 1194720144. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Blaine Van Ausdeln located?

Blaine Van Ausdeln practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-3569.

What is Blaine Van Ausdeln's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Blaine Van Ausdeln was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.