JESSICA BLAIR PNP NPI 1790167328

NPI Information

  • NPI: 1790167328
  • Provider Name: JESSICA BLAIR, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 CORPORATE DR STE 200
    LADERA RANCH, CA
    ZIP 92694
  • Phone: (949) 347-7200

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NPI Details

Jessica Blair, PNP is a pediatrics nurse practitioner in Ladera Ranch, CA. Jessica Blair, PNP NPI is 1790167328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 CORPORATE DR STE 200
LADERA RANCH, CA
ZIP 92694-179
Phone: (949) 347-7200

The NPI 1790167328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2015 and was last updated on 6/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics95007023CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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