MR. BLAZE REILLEY MARSHALL
NPI 1528936473
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since October 23, 2025
24745 STEWART ST, LOMA LINDA, CA 92350(909) 558-1300 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Blaze Reilley Marshall NPPES

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

MR. BLAZE REILLEY MARSHALL (NPI 1528936473) is an individual student in an organized health care education/training program in Loma Linda, California, licensed in California (INT51649) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1528936473
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. BLAZE REILLEY MARSHALL
Location Address24745 STEWART STLoma Linda, CA 92350-1719
Mailing Address24745 Stewart StLoma Linda, CA 92350-1719
Sole ProprietorYes
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1528936473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · INT51649
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.
24745 STEWART ST, Loma Linda, CA 92350

Other Providers at the Same Location NPPES 12

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

Pharmacist (Infectious Diseases)
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist (Pharmacotherapy)
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST, SHRYOCK HALL ROOM 234
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST
LOMA LINDA, CA 92350
Pharmacist
24745 STEWART ST, SHRYOCK HALL ROOM 234
LOMA LINDA, CA 92350

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 Blaze Marshall's NPI number?

The NPI number for Blaze Marshall is 1528936473. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Blaze Marshall located?

Blaze Marshall practices at 24745 Stewart St, Loma Linda, CA 92350. The listed phone number is (909) 558-1300.

What is Blaze Marshall'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 Blaze Marshall was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.