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

Brandi Blakes

Individual provider Gerontology Nurse Practitioner · NPI 1174281539

Brandi Blakes is a Nurse Practitioner in Burbank, California. Qualified in 2021, 5 years ago. Practices with West Coast Wound and Skin Care Inc, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

2501 W Burbank Blvd
Burbank, CA 91505-2347
Phone: (818) 856-9535
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0000000 (CA)

Record details

NPI number1174281539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address3074 Ryan Ave, Tulare, CA 93274-7765

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice West Coast Wound And Skin Care Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Burbank