Andres Carlos Gottfried Blackmore, MD

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (6)

• 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
• 9350 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
• 4250 1st Ave, San Diego, CA 92103 — (800) 926-8273
• 6655 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273
• 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 723-4000
• 505 East 70th Street, New York, NY 10021 — (212) 746-9663

Specialties & licences

Gastroenterology Physician (primary)	Taxonomy 207RG0100X · Licence A136219 (CA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1629310735
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	March 27, 2013
Last updated in NPPES	March 24, 2026
Certification date	March 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	GASTROENTEROLOGY
Medical school	OTHER
Graduated	2013 (13 years in practice)
Group practice	Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare