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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Blair Jolley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Ontario, CA 91762
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Blair Jolley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Jolley reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Panorama City, CA) and Family Foot Center Podiatry Group Inc. (Ontario, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blair Jolley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA); Family Foot Center Podiatry Group Inc. (NPI 1235332396, Ontario, CA) · CMS Revalidation Reassignment List, October 2026 release
- **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.