PATRICIA BLAKE, L.Ac — NPI 1982820593 (Licensed & Credentialed Acupuncturist in SAN DIEGO, CA)

CMS-1500 Box 24J / 33a • NPI

1982820593

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171100000X

Licensed & Credentialed Acupuncturist

Box 32 Service Location & ZIP+4

12264 EL CAMINO REAL, STE. 108, SAN DIEGO, CA, 92130-3058

✓ 9-Digit EDI 837 ZIP+4 (92130-3058)

Practice Phone & Referral Fax

(858) 481-0303

Fax: (858) 481-9797

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982820593 (PATRICIA BLAKE, L.Ac) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1982820593` (NPI-1 Individual Practitioner)
Provider / Legal Name	PATRICIA BLAKE, L.Ac
Plain-English Specialty	Licensed & Credentialed Acupuncturist NUCC Code: `171100000X` (Acupuncturist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12264 EL CAMINO REAL, STE. 108, SAN DIEGO, CA, 92130-3058
Practice Telephone / Fax	Tel: (858) 481-0303 \| Fax: (858) 481-9797
Administrative Mailing Address	551 TEWA CT, DEL MAR, CA, 92014-2850
Enumeration & Last Sync	Enumerated: 2007-04-18 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12264 EL CAMINO REAL, STE. 108, SAN DIEGO, CA, 92130-3058

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Plain-English Taxonomy & CMS Crosswalk (171100000X)

What Does Taxonomy Code 171100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171100000X translates to:
"Licensed & Credentialed Acupuncturist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Acupuncturist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PATRICIA BLAKE, L.Ac)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171100000X` — Acupuncturist Plain English: Licensed & Credentialed Acupuncturist	State: CA \| License: `AC-9648` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PATRICIA BLAKE, L.Ac (NPI #1982820593)