Blake Health Management Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

53425 Issued in CA

Legal business name

BLAKE HEALTH MANAGEMENT INC

Practice address

4956 Verdugo Way
Suite 1
Camarillo, CA 93012-8632

Phone

(805) 445-1013

Fax

(805) 445-4526

NPI assigned

Feb 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Onyebuchi Blake Agbu

Title

President

Phone

(805) 445-1013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1912229386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 VERDUGO WAY",
            "address_2": "SUITE 1",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-445-1013",
            "fax_number": "805-445-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 VERDUGO WAY",
            "address_2": "SUITE 1",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-445-1013",
            "fax_number": "805-445-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "AGBU",
        "authorized_official_first_name": "ONYEBUCHI",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-445-1013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "53425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SELLER'S PERMIT",
            "identifier": "101436649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Rachel Billings, CF-SLP
• Bio-Medical Applications of Camarillo, Inc.
• Sara Birjani
• Amy Bisogni, OTR/L, CNT, IBCLC
• Camille Black
• Darren Michael Blatt, MA, MFT-I
• Blendwise Nutrition
• Gwendolyn Sheila Bleu, AMFT
• Christopher Blum
• Kaitlin Blum, PT, DPT

• Durable Medical Equipment & Medical Supplies in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.