Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake B Wimmer, AUD

Individual provider Audiologist · NPI 1164208955

Blake B Wimmer, AUD is a Qualified Audiologist in Carlsbad, California. Qualified in 2023, 3 years ago. Practices with Pacific ENT Medical Group, Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

6010 Hidden Valley Rd Ste 210
Carlsbad, CA 92011-4219
Phone: (760) 827-6400
Fax: (844) 971-7314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1164208955
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address500 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4234

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pacific Ent Medical Group, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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