Jesse Raymond Blazo, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13903 Issued in CA

Practice address

1904 Franklin St Ste 500
Oakland, CA 94612-2926

Phone

(510) 817-0680

NPI assigned

Nov 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1417234675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST APT 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062293",
            "telephone_number": "510-393-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FRANKLIN ST STE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122926",
            "telephone_number": "510-817-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZO",
        "first_name": "JESSE",
        "middle_name": "RAYMOND",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dawn Blaschko, MD
• Tyler John Blatt
• Kristina Dale Wood Blatter, PSYD
• Rachel Blauvelt, OTR/L
• Nia Blay
• Ciara Bleahen
• Joyce Maureen Bleakley, BA
• Anneke Bleeker
• Anika Blegen
• Julia Jean Bley, MD

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.