MR. ANDRE ANTHONY BLAKE P.A.
NPI 1588655682
Physician Assistant - Surgical in Redlands, CA

NPI Status: Active since October 31, 2005

Contact Information

2 W FERN AVE
REDLANDS, CA
ZIP 92373
Phone: (909) 793-3311
Fax: (909) 335-4190

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  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About ANDRE BLAKE

This page provides the complete NPI Profile along with additional information for Andre Blake, a provider established in Redlands, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1588655682 assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA16708 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1588655682
Provider Name
MR. ANDRE ANTHONY BLAKE P.A.
Gender
Male
Entity Type
Individual
Location Address
2 W FERN AVE REDLANDS, CA 92373
Location Phone
(909) 793-3311
Location Fax
(909) 335-4190
Mailing Address
PO BOX 10069 SAN BERNARDINO, CA 92423
Is Sole Proprietor?
No
Enumeration Date
10-31-2005
Last Update Date
02-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA16708
License State
CA

Medicare Participation & PECOS Enrollment Status

Andre Blake is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 71 times for 47 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 137 times for 82 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 16 times for 16 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 362 times for 50 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 83 times for 83 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588655682, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 2 + 5 + 1 + 0 + 6 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1588655682.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2 W FERN AVE
REDLANDS, CA 92373
Internal Medicine
2 W FERN AVE
REDLANDS, CA 92373
Family Medicine
2 W FERN AVE
REDLANDS, CA 92373
Internal Medicine
2 W FERN AVE
REDLANDS, CA 92373
Anesthesiology
2 W FERN AVE
REDLANDS, CA 92373
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
Family Medicine
2 W FERN AVE
REDLANDS, CA 92373
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
Orthopaedic Surgery
2 W FERN AVE
REDLANDS, CA 92373
Obstetrics & Gynecology
2 W FERN AVE
REDLANDS, CA 92373
Anesthesiology
2 W FERN AVE
REDLANDS, CA 92373
Family Medicine
2 W FERN AVE
REDLANDS, CA 92373
Nurse Practitioner
2 W FERN AVE
REDLANDS, CA 92373
Anesthesiology
2 W FERN AVE
REDLANDS, CA 92373
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
Family Medicine
2 W FERN AVE
REDLANDS, CA 92373
Nurse Practitioner
2 W FERN AVE
REDLANDS, CA 92373
Internal Medicine (Pulmonary Disease)
2 W FERN AVE
REDLANDS, CA 92373
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
Pediatrics
2 W FERN AVE
REDLANDS, CA 92373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588655682, enumerated as an "individual" on October 31, 2005.

The provider is located at 2 W FERN AVE REDLANDS, CA 92373 and the phone number is (909) 793-3311.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.