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NICHOLAS BLAKELY PA-C
NPI 1275345753
Physician Assistant in San Juan Capistrano, CA

Active since January 22, 2025PECOS Enrolled
30230 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675(949) 443-4303(949) 443-4033 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, May 25, 2025 (2 updates tracked since 2025).

About Nicholas Blakely Pa-c NPPES

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

NICHOLAS BLAKELY PA-C (NPI 1275345753) is an individual physician assistant in San Juan Capistrano, California, licensed in California (PA66041) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275345753
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS BLAKELYCredential: PA-C
Location Address30230 RANCHO VIEJO RD STE 200San Juan Capistrano, CA 92675-1585
Mailing AddressPo Box 7087Orange, CA 92863-7087 · (714) 571-5000 · Fax (714) 571-5055
Phone(949) 443-4303
Fax(949) 443-4033
Sole ProprietorNo
Enumeration DateJanuary 22, 2025
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1275345753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66041
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30230 RANCHO VIEJO RD STE 200, San Juan Capistrano, CA 92675
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Blakely Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92675 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DR. KAVEH N REZVAN D.O.
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
PALOMA INCARE
Hospitalist
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
DR. MAHSA SAFAVI M.D. MEDICAL CORPORATION
Family Medicine
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
CATHERINE MARY MCMILLAN
Internal Medicine
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
DEEPA V OZA FNP-C
Internal Medicine
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
DR. JAY ASHWINBHAI PATEL MD
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
SHERRY FINN SCHULMAN RDN
Dietitian, Registered
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303
YEN-HUI MATTHEW SOONG M.D.
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 443-4303

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 Nicholas Blakely's NPI number?

The NPI number for Nicholas Blakely is 1275345753. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Nicholas Blakely located?

Nicholas Blakely practices at 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675. The listed phone number is (949) 443-4303.

What is Nicholas Blakely's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Blakely enrolled in Medicare?

Yes. Nicholas Blakely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Blakely was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.