Active NPI
Darren Blair, DPT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1689047649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43032
- Practice address
- 3809 Plaza Dr
Suite 112
Oceanside, CA 92056-4625 - Phone
- (760) 941-2630
- NPI assigned
- Nov 12, 2015
- Last updated
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43032 | CA | Primary |
Addresses
Primary practice location
3809 Plaza Dr
Suite 112
Oceanside, CA 92056-4625
Mailing address
2005 E Feemster CT
Visalia, CA 93292-5160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43032 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1689047649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 E FEEMSTER CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932925160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 PLAZA DR",
"address_2": "SUITE 112",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564625",
"telephone_number": "760-941-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "DARREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.