Individual provider · Type 1 NPI

Samuel Blake, RN

Registered Nurse · Los Angeles, CA

NPI number 1376450239 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	95231386 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376450239

Samuel Blake, RN's National Provider Identifier is 1376450239, issued on Aug 26, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2026.