BLAIR MOYLE JOLLEY DPM
NPI 1366737728
Podiatrist - Foot & Ankle Surgery in Panorama City, CA
About Blair Moyle Jolley Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR MOYLE JOLLEY DPM (NPI 1366737728) is an individual foot & ankle surgery provider in Panorama City, California, licensed in California (E5135) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2011).
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 and accepts Medicare assignment
Blair Moyle Jolley Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
PANORAMA CITY, CA 91402
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 Blair Jolley's NPI number?
The NPI number for Blair Jolley is 1366737728. It was assigned to this individual provider in the NPPES registry on June 14, 2011.
Where is Blair Jolley located?
Blair Jolley practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.
What is Blair Jolley's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Blair Jolley enrolled in Medicare?
Yes. Blair Jolley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Blair Jolley was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blair Moyle Jolley, DPM · NPI 1366737728
Foot & Ankle Surgery provider in Panorama City, California. Individual provider, active in the CMS NPPES registry since June 14, 2011.
## Identity
- **NPI:** 1366737728 (Entity type: Individual)
- **Enumerated:** June 14, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E5135 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13652 CANTARA ST, Panorama City, CA 91402-5423
- **Phone:** (818) 375-2000 · **Fax:** (818) 375-3201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Temple University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366737728) · Data from the CMS NPPES public registry.