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

Blake Edward Bailey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265168496

Blake Edward Bailey is a Student in an Organized Health Care Education/Training Program in Fontana, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17234 Valley Blvd
Fontana, CA 92335-6720
Phone: (714) 366-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265168496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESOctober 16, 2024
Certification dateMarch 21, 2024
Mailing address17234 Valley Blvd, Fontana, CA 92335-6720

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