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DR. AMANDA BLAKE MD
NPI 1487390282
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since May 05, 2022
747 52ND ST STE 245, OAKLAND, CA 94609(510) 428-3331 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, May 5, 2022 (2 updates tracked since 2022).

About Dr. Amanda Blake Md NPPES

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

DR. AMANDA BLAKE MD (NPI 1487390282) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1487390282
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AMANDA BLAKECredential: MD
Location Address747 52ND ST STE 245Oakland, CA 94609-1809
Mailing Address747 52nd St Ste 245Oakland, CA 94609-1809 · (510) 428-3331
Phone(510) 428-3331
Sole ProprietorYes
Enumeration DateMay 5, 2022
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1487390282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
747 52ND ST STE 245, Oakland, CA 94609
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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.

MARISELLA GARCIA MD
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
BRADY DANA JOHNSON MD, MPHTM
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
CORRILYNN LYNCH
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
MOIRA K O'CONNOR LENTH MD
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
MS. RUNI TANNA
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (000) 000-0000
SONIA SUBUDHI MD
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
CHUKWUEMEKA OBIEFUNA AJAELO MD
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
AMY MAO MD
Student in an Organized Health Care Education/Training Program
747 52ND ST STE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331

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 Amanda Blake's NPI number?

The NPI number for Amanda Blake is 1487390282. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Amanda Blake located?

Amanda Blake practices at 747 52nd St Ste 245, Oakland, CA 94609. The listed phone number is (510) 428-3331.

What is Amanda Blake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Blake was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.