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Gerald Alan Blake (M.D.)

Gerald Alan Blake (M.D.) is a health care provider specializes in Specialist. He is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 1096 Calimesa Blvd Ste D, Calimesa, CA 92320-1559, US
Practice Location Phone909-722-1240
Practice Location Fax909-446-8800
GenderMale
Specialty InSpecialist
Medical SchoolOther
Graduation Year1972
NPI ?1457392938
PECOS ID9537153770
Enrollment IDI20040412001022
Entity TypeIndividual
Enumeration Date ? Jun 8, 2006
Last Update Date ? Mar 9, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Gerald Alan Blake

SpecialtySpecializationLicenseLicense State
Specialist A32432California

Medicare-icon Medicare Participation of Gerald Alan Blake

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Gerald Alan Blake

Affiliation 1 Silver Lake Medical Center
Affiliation 2 Glendora Community Hospital

legacy-id-icon Legacy Provider IDs of Gerald Alan Blake

Provider IdIssuer StateIssuer TypeIssuer
00A324320CaliforniaMedicaid