Individual provider · Type 1 NPI

Nicholas Blakely, PA-C

Physician Assistant · San Juan Capistrano, CA

NPI number 1275345753 Active

Practice location

30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585

Call (949) 443-4303 Map

Fax (949) 443-4033

Mailing address

PO Box 7087
Orange, CA 92863-7087

Other practice locations

  • 23141 Moulton Pkwy Ste 108, Laguna Hills, CA 92653-1241 · (949) 443-4303

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA66041 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

9 other providers at this address

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About NPI 1275345753

Nicholas Blakely, PA-C's National Provider Identifier is 1275345753, issued on Jan 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Mar 3, 2026.