Aaron Bledsoe
Physician Assistant (Medical)

Address: 631 W Avenue Q Ste B, Palmdale, CA 93551-3892
Phone: 6619479000

Aaron Bledsoe (NPI# 1366724650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1366724650
Entity Type Individual
Full Name Aaron Bledsoe
Credential PA-C
Gender Male
Practice Address 631 W Avenue Q Ste B
Palmdale
CA 93551-3892
Practice Telephone 6619479000
Mailing Address 435 W Los Feliz Rd Unit 511
Glendale
CA 91204-3570
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-09-13
Last Update Date 2019-02-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA-1074 ID
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 50.003314 OH

Secondary Practice Locations

Address Telephone Number Fax Number
6052 W State St, Boise, ID 837032739 2083447799 2083447152

Physician Overview

NPI 1366724650
PAC ID by PECOS 3173796687
Professional Enrollment ID I20160830001745
Full Name Aaron L Bledsoe
Organization Legal Name OVERLAKE MEDICAL CLINICS LLC
Phone Number 4256885234
Gender M
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7012808827
Number of Group Practice Members 210
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500051 OVERLAKE HOSPITAL MEDICAL CENTER

Office Location

Street Address 631 W AVENUE Q STE B
City PALMDALE
State CA
Zip Code 93551-3892

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831148501 Moutasem Abaza Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2006-05-09
1891231924 Clarence Chu Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2017-01-12
1790818201 Julian Garcia Pathology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2007-03-13
1215943758 James L Reith Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770052748 The Kibbutz - Nature Serenity Renewal Clinic/Center 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 2018-11-19
1306321872 Vicky Elena Ledesma Case Manager/Care Coordinator 251 Grand Cypress Ave, Palmdale, CA 93551 2018-10-01
1972025898 Tamika Estrella Driver 39553 Hawthorne St, Palmdale, CA 93551 2017-07-12
1245750751 Tamara Vwich Dds Inc Dentist 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 2017-06-26
1487003356 Thriving Consultingname Home Health 2845 Ladyfern Lane, Palmdale, CA 93551 2016-06-10
1235501750 Jessica Andrea Ulloa Counselor 734 Celtic Dr, Palmdale, CA 93551 2015-10-23
1508240243 Rachel Williams Registered Nurse 3961 Woburn Ct, Palmdale, CA 93551 2015-07-13
1568869303 Angel Congregate Living, Inc Home Health 38536 Desert View Dr, Palmdale, CA 93551 2014-11-21
1174946560 Nelly Johnson Marriage & Family Therapist 602 Commerce Ave Ste E, Palmdale, CA 93551 2014-01-21
1073935128 Micael Hilario Dentist 38745 N Tierra Subida Ave, Suite 150, Palmdale, CA 93551 2014-01-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508057316 Kay Dee Roberts Physician Assistant 41230 11th St W Ste E, Palmdale, CA 93551-1411 2007-08-06
1013018944 Brian Adam Schlesinger Physician Assistant 1037 E. Palmdale Blvd., Palmdale, CA 93550 2006-09-25
1770984254 Clinica Medica Mi Familia De Palmdale, Inc. Physician Assistant 1037 E Palmdale Blvd, Suite 101, Palmdale, CA 93550-4745 2014-09-15
1568645000 Suzanne Marie Percival-pacini Physician Assistant 38600 Medical Center Dr, Palmdale, CA 93551-4483 2007-12-06
1003871450 Cynthia Gayle James Physician Assistant 41210 11th St W, Ste G, Palmdale, CA 93551-1447 2006-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144780016 Lauren Nicole Smith Physician Assistant 18112 Outer Hwy 18 Ste 101, Apple Valley, CA 92307-2211 2019-03-25
1982162863 Robert Vu Cao Physician Assistant 10707 Lauren Cir, Garden Grove, CA 92840-5012 2019-03-09
1962968032 Elaine L Chen Physician Assistant 10 Congress St Ste 502, Pasadena, CA 91105-3023 2019-02-14
1962966309 Tashina Jessica Kraintz Physician Assistant 10431 Caminito Alvarez, San Diego, CA 92126-5838 2019-01-30
1790249514 Shubing Yu Physician Assistant 2707 E Valley Blvd Ste 103, West Covina, CA 91792-3196 2019-01-25
1952875957 Michelle Rose Abraham Physician Assistant 2633 Pacific Ave # 1, Stockton, CA 95204-4429 2019-01-14
1134692692 Monique Miranda Hernandez Physician Assistant 25405 Hancock Ave Ste 108, Murrieta, CA 92562-5983 2019-01-08
1265905236 Nicole Fiss Physician Assistant 8367 Variel Ave, Canoga Park, CA 91304-4348 2019-01-02
1902378979 Michael S Yeh Physician Assistant 1827 Antioch Rd, Claremont, CA 91711-2767 2019-01-01
1295206381 Brooke Myrberg Physician Assistant 1469 S Bedford St Apt 5, Los Angeles, CA 90035-3537 2018-12-16
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Competitor

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City PALMDALE
Zip Code 93551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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