Andre Anthony Blake, P.A.
NPI 1588655682ActiveIndividual· Physician Assistant, Surgical· Redlands, CA
Physician Assistant, Surgical (P.A.) in Redlands, California, licensed in CA, with an NPI issued in October 2005. 57 Medicare patients in 2024, $3,365 paid; all of their 102 Part D prescriptions were generic.
Overview
| NPI | 1588655682 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 31, 2005 |
| Last updated in NPPES | Feb 3, 2020 |
| Certified by provider | Feb 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA16708 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 277 across 14 procedure codes |
| Paid by Medicare | $3,365 |
Part D prescriptions in 2024
| Prescriptions (claims) | 102 · 105 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $1,160 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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