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

Chrisjon Augustus Blake

Individual provider Case Manager/Care Coordinator · NPI 1346727997

Chrisjon Augustus Blake is a Case Manager/Care Coordinator in San Diego, California. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
Specialties on file
3

Practice location Address checks out

1660 Hotel Cir N Ste 314
San Diego, CA 92108-2803
Phone: (619) 961-2120
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-60640 (AZ)

Record details

NPI number1346727997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 26, 2018
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Other providers in San Diego