BLAKE EDWARD BAILEY
NPI 1265168496
Student in an Organized Health Care Education/Training Program in Fontana, CA
About Blake Edward Bailey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE EDWARD BAILEY (NPI 1265168496) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Edward Bailey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
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 Bailey's NPI number?
The NPI number for Blake Bailey is 1265168496. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Blake Bailey located?
Blake Bailey practices at 17234 Valley Blvd, Fontana, CA 92335. The listed phone number is (714) 366-6965.
What is Blake Bailey's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Blake Bailey enrolled in Medicare?
Yes. Blake Bailey is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Blake Bailey was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Blake Edward Bailey · NPI 1265168496
Student in an Organized Health Care Education/Training Program provider in Fontana, California. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1265168496 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17234 VALLEY BLVD, Fontana, CA 92335-6720
- **Phone:** (714) 366-6965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265168496) · Data from the CMS NPPES public registry.