Mr. Andre Anthony Blake, P.A.
Mr. Andre Anthony Blake is a Surgical Physician Assistant provider (Physician Assistant) practicing in Redlands, CA, registered in the NPPES registry with NPI 1588655682 since 2005. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588655682 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Andre Anthony Blake |
| Credential | P.A. |
| Sex | Male |
| Practice address | 2 W FERN AVE, Redlands, CA, 92373 |
| Phone | 9097933311 |
| Fax | 9093354190 |
| Enumeration date | 2005-10-31 |
| Last updated in NPPES | 2020-02-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant | Primary | PA16708 | CA |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Andre Blake, P.A. NPI: 1588655682 Taxonomy: 363AS0400X (Surgical Physician Assistant) Address: 2 W FERN AVE, Redlands, CA, 92373
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518962802 | Sue Field | Individual | Anesthesiology Physician | Redlands, CA |
| 1043219314 | Marvin Brauer | Individual | Hospitalist Physician | Redlands, CA |
| 1992706451 | Marta Cheatham-Lott | Individual | Obstetrics & Gynecology Physician | Redlands, CA |
| 1346229382 | Brent Jackson | Individual | Surgery Physician | Redlands, CA |
| 1649243866 | Pei-Yuen Tang | Individual | Family Medicine Physician | Redlands, CA |
| 1407820855 | Marvin Lee | Individual | Family Medicine Physician | Redlands, CA |
| 1194789750 | Robert Fajardo | Individual | Medical Physician Assistant | Redlands, CA |
| 1124076344 | Sameh Naseib | Individual | Hospitalist Physician | Redlands, CA |
Verify this record
Cross-check NPI 1588655682 against the authoritative CMS record: view Mr. Andre Anthony Blake on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1588655682 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-03.