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

Dr. Nicholas Patrick Blasingame, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1033792411

Dr. Nicholas Patrick Blasingame, DPM is a Podiatry in South Gate, California. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with Stanley K Mathis DPM Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

8627 Atlantic Ave
South Gate, CA 90280-3501
Phone: (877) 462-2582
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6056 (CA)

Record details

NPI number1033792411
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address633 13th Street, Manhattan Beach, CA 90266

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Stanley K Mathis Dpm Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare