Individual provider Active NPI

Gerard Francis Blake, MD

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1962481929
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C53165 Issued in CA
Practice address
8910 Villa la Jolla Dr Ste 100
La Jolla, CA 92037-1701
Phone
(800) 926-8273
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C53165 CA
Family Medicine Physician 207Q00000X C53165 CA Primary
Family Medicine Physician 207Q00000X 21229 SC

Addresses

Primary practice location

8910 Villa la Jolla Dr Ste 100
La Jolla, CA 92037-1701

Mailing address

File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273

Other practice location 1

525 3rd Ave
Chula Vista, CA 91910-5616
Phone (858) 499-2777

Other identifiers 1

IdentifierTypeStateIssuer
212291MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000176 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7911906201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

4358 Bonita Rd
Suite 400
Bonita, CA 91902-1421
Phone 619695126645

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53165CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 1, 2008 Accepting new patients
Monica Perlman MD Inc. Family Medicine CurrentSince Apr 18, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Emergency Medicine CurrentSince Aug 1, 2008 Accepting new patients
Lowcountry Medical Associates Emergency Medicine Past Accepting new patients
Lowcountry Medical Associates Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Monica Perlman MD Inc. Family Medicine Past Accepting new patients

Locations

4358 Bonita Rd
Ste 400
Bonita, CA 91902
Phone (619) 695-1266

525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1962481929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747326",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 VILLA LA JOLLA DR STE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371701",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105616",
            "country_code": "US",
            "telephone_number": "858-499-2777",
            "fax_number": "619-585-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "GERARD",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C53165",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C53165",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212291",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.