Individual provider · Type 1 NPI

Justin Blackmon

Physician Assistant · La Jolla, CA

NPI number 1699182832 Active

Practice location

9888 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

4818 Glendarion Dr
Durham, NC 27713-8025

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA031058 (DC)
Medical Physician Assistant 363AM0700X085.005596 (IL)
Physician Assistant Primary 363A00000X53958 (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…

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About NPI 1699182832

Justin Blackmon's National Provider Identifier is 1699182832, issued on Jul 21, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in La Jolla, CA. The record was last updated on Oct 31, 2016.