Search › California › 363A00000X
Nicholas Blakely, PA-C
NPI 1275345753 · on the registry since 2025
Practice
- Address
- 30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675 - Phone
- (949) 443-4303
- Fax
- (949) 443-4033
- Organisation at this address
- Renew Pc
Paloma Incare
Paloma Medical Group Inc
Renew Health Medical Corporation
Pacific Private Practice Network IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 23141 Moulton Pkwy Ste 108, Laguna Hills, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California