Jason Blakemore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-48568 Issued in CA

Practice address

18008 Sky Park Cir
Irvine, CA 92614-6433

Phone

(949) 290-1545

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Orange County Health Psychologists, Inc.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1174945554
  Medicare reassignment NPD
• Kamala Thomas Psychological Services Corp

  • Adult Mental Health Clinic/Center
  • Irvine, CA
  • NPI 1144843814
  NPD

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1437635315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 MESA DR APT 65",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146433",
            "telephone_number": "949-290-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-48568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth W Blackman
• David Andrew Blackwood
• Matthew Bladh
• Adeline Jane Blair, BA
• Luz O Blake, P.T.
• Taylor Marye Blanchard
• Nicole Sachiko Blanco, DPT
• Keri Blasingame, NP
• BLC Inn at the Park, LLC (Brookdale Irvine)
• Caroline Bleecker

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.