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JESSICA BLANCO MD PC
NPI 1669642401
Family Medicine in Chandler, AZ

Active since March 07, 2008
5505 W CHANDLER BLVD, STE.#B-13, CHANDLER, AZ 85226(480) 361-4780(480) 361-4781 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2025, Oct 1, 2024, Sep 9, 2024 and 1 more (4 updates tracked since 2024).

About Jessica Blanco Md Pc NPPES

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

JESSICA BLANCO MD PC (NPI 1669642401), doing business as Desert Foothills Family Medicine, is a healthcare organization registered as a family medicine in Chandler, Arizona and active in the NPI registry since March 2008. The organization lists Jessica Blanco, Owner, as its authorized official.

NPPES Registry Identity

NPI1669642401
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJESSICA BLANCO MD PC
Location Address5505 W CHANDLER BLVD, STE.#B-13Chandler, AZ 85226-3683
Mailing Address5505 W Chandler Blvd, Ste.#b-13Chandler, AZ 85226-3683 · (480) 361-4780 · Fax (480) 361-4781
Phone(480) 361-4780
Fax(480) 361-4781
Organization SubpartNo
Authorized OfficialJessica BlancoOwner · (480) 361-4780
Enumeration DateMarch 7, 2008
Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1669642401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5505 W CHANDLER BLVD, Chandler, AZ 85226
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Other Names 1

Doing Business AsDesert Foothills Family Medicine

Other Identifiers 1

Medicaid764284AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Blanco Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20110115000085Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessica Blanco MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Blanco, MD
Family Practice
NPI 1467446377
5505 W CHANDLER BLVD STE B-13
Chandler, AZ 85226
(480) 361-4780
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jessica Blanco MD PC's NPI number?

The NPI number for Jessica Blanco MD PC is 1669642401. It was assigned to this organization in the NPPES registry on March 7, 2008. The provider is doing business as Desert Foothills Family Medicine.

Where is Jessica Blanco MD PC located?

Jessica Blanco MD PC is located at 5505 W Chandler Blvd Ste.#b-13, Chandler, AZ 85226. The listed phone number is (480) 361-4780.

What is Jessica Blanco MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Blanco MD PC enrolled in Medicare?

Yes. Jessica Blanco MD PC is registered in the Medicare PECOS enrollment system.

When is Jessica Blanco MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jessica Blanco MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jessica Blanco MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Blanco MD PC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.