Jade Chayanne Blanco Holman

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

264771 Issued in AZ

Practice address

3100 Telegraph Ave Ste 350
Oakland, CA 94609-3239

Phone

(623) 204-6954

NPI assigned

Jun 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1619865847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE STE 350",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE STE 350",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239",
            "telephone_number": "623-204-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO HOLMAN",
        "first_name": "JADE",
        "middle_name": "CHAYANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95421860",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "264771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Blalock
• Joseline Andrea Blalock
• Yevgenia Blam, F.N.P.
• Brett Matthew Blanchard
• Lauren Boyd Blanchard, CNFP
• Deysi Karina Blanco-Portillo, RCP
• Maria D Blanco
• Rafael Blank, MD
• Wendy Norma Blank, LCSW
• Anna Blanken, PHD

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.