Individual provider Active NPI

John D Blakey, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Torrance, CA
National Provider Identifier
1093810616
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A71650 Issued in CA
Practice address
3330 Lomita Blvd
Department of Pathology
Torrance, CA 90505-5002
Phone
(310) 517-4649
Fax
(310) 784-4847
NPI assigned
Sep 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A71650 CA Primary

Addresses

Primary practice location

3330 Lomita Blvd
Department of Pathology
Torrance, CA 90505-5002

Mailing address

PO Box 10428
Torrance, CA 90505-1428
Phone (310) 517-4766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000546 CA Practitioner - Pathology 1355381468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Pathology Associates Medical GroupGroup PAC ID 7719927821, 5 clinicians

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71650CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Pathology Associates Medical Group Anatomic Pathology & Clinical Pathology CurrentSince Nov 28, 2012 Accepting new patients
Torrance Memorial Medical Center CurrentSince May 1, 2004 Accepting new patients
Torrance Memorial Medical Center CurrentSince May 1, 2004 Accepting new patients

Locations

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093810616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10428",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051428",
            "telephone_number": "310-517-4766",
            "fax_number": "310-784-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LOMITA BLVD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055002",
            "telephone_number": "310-517-4649",
            "fax_number": "310-784-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEY",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A71650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.