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BLAKE SMITH
NPI 1275089609
Specialist in Modesto, CA

Active since August 26, 2016
2630 W RUMBLE RD, MODESTO, CA 95350(209) 579-9444(209) 579-9494 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Smith NPPES

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

BLAKE SMITH (NPI 1275089609) is an individual specialist in Modesto, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1275089609
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBLAKE SMITH
Location Address2630 W RUMBLE RDModesto, CA 95350-0155
Mailing Address2630 W Rumble RdModesto, CA 95350-0155 · (209) 579-9444 · Fax (209) 579-9494
Phone(209) 579-9444
Fax(209) 579-9494
Sole ProprietorNo
Enumeration DateAugust 26, 2016
✔ NPI 1275089609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2630 W RUMBLE RD, Modesto, CA 95350
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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.

BRITTANY STERBA
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 579-9444
CIERA MILLER
Specialist
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 579-9444
KEVIN JURUPE
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 222-2378
ASHLEY COSIO
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 579-9444
ANALY CERVANTES
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 579-9444
MELISSA PULIDO
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 222-2378
NICOLE GUNDERSON
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 222-2378
MALIA BERT
Behavior Technician
2630 W RUMBLE RD
MODESTO, CA 95350
Stanislaus County (209) 222-2378

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 Smith's NPI number?

The NPI number for Blake Smith is 1275089609. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Blake Smith located?

Blake Smith practices at 2630 W Rumble Rd, Modesto, CA 95350. The listed phone number is (209) 579-9444.

What is Blake Smith's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blake Smith was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.