Active NPI
Alyson Oblock, PA-C
- Physician Assistant
- San Diego, CA
National Provider Identifier
1508414012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60677
- Practice address
- 3811 Valley Centre Dr
San Diego, CA 92130-3318 - Phone
- (858) 764-3310
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11433416-1206 | UT | |
| Physician Assistant | 363A00000X | PA60677 | CA | Primary |
Addresses
Primary practice location
3811 Valley Centre Dr
San Diego, CA 92130-3318
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 764-3310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
568 E 2ND Ave
Salt Lake City, UT 84103-2927
Hospital & facility affiliations
- Scripps Green Hospital
- Scripps Memorial Hospital - Encinitas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1508414012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-764-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 VALLEY CENTRE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303318",
"telephone_number": "858-764-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBLOCK",
"first_name": "ALYSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "11433416-1206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.