Blake A Hufford, NP-C
Individual provider Active NPI Family Nurse Practitioner · Ripon, CA
NPI 1114559648 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1114559648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95013774 (CA)
- Practice address
- 521 N Wilma Ave Ste a
Ripon, CA 95366-9503 - Phone
- (209) 599-4211
- Fax
- (209) 599-7348
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95013774 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95013774 | CA | Yes |
Addresses
Primary practice location
521 N Wilma Ave Ste a
Ripon, CA 95366-9503
Mailing address
PO Box 210
Ripon, CA 95366-0210
Phone (209) 599-4211
Other practice location 1
150 Vera Ave
Ripon, CA 95366-2343
Phone (209) 599-4211 ext. 119
Other providers in Ripon, CA
- Seth Heatwole
- Steven J Herrin
- Allen Dirk Hoek
- Paul Michael Hogan
- Kevin Hsiao
- Kent Alan Hufford
- Impact Medical Staffing, Inc
- Loni Isham
- Agnese Izzo
- J&B Partners in Home Health Care Inc
All providers in Ripon, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.