BLAKE PHILLIP DREIHAUS PA-C
NPI 1285257063
Physician Assistant - Surgical in Fresno, CA

Q: What is Blake Dreihaus's NPI number?

The NPI number for Blake Dreihaus is 1285257063. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Blake Dreihaus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Blake Dreihaus was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 27, 2020PECOS Enrolled

2823 FRESNO ST, FRESNO, CA 93721(559) 459-3705(559) 459-3720 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2020, May 27, 2020 (2 updates tracked since 2020).

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About Blake Phillip Dreihaus Pa-c NPPES

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

BLAKE PHILLIP DREIHAUS PA-C (NPI 1285257063) is an individual surgical provider in Fresno, California, licensed in California (58389) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285257063

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameBLAKE PHILLIP DREIHAUSCredential: PA-C

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 459-3705

Fax(559) 459-3720

Sole ProprietorNo

Enumeration DateMay 27, 2020

Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration

NPPES CertifiedAugust 14, 2020

✔ NPI 1285257063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 58389

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 58389 (CA)

2823 FRESNO ST, Fresno, CA 93721

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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)

Blake Phillip Dreihaus 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.

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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine