Adam Skye Blank, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20A22291 Issued in CA

Practice address

35 Casa St Ste 170
San Luis Obispo, CA 93405-1887

Phone

(800) 763-7732

NPI assigned

Mar 25, 2021

Last updated

Aug 29, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: adam.blank.p1@direct.bfmc.nextgenshare.com
• Direct secure messaging: adam.blank.p8@direct.bfmc.nextgenshare.com
• Direct secure messaging: adam.blank@hca6.eclinicaldirectplus.com

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1710564919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 170",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051887",
            "telephone_number": "800-763-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 170",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051887",
            "telephone_number": "800-763-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ADAM",
        "middle_name": "SKYE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A22291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Bixler, R.D.H.
• Emily Blair
• Hayley Blakemore
• Trina Blanchette
• Eric Blanco
• Kristin D Blecha, APCC
• Marta Beth Block, MS
• Jeffrey M Bloom, MD
• Mary Coleen Blout
• Bryce Jeffrey Blue, O.D.

• Adult Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.