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

Ebony Blake

Individual provider Community Health Worker · NPI 1821329376

Ebony Blake is a Community Health Worker in Richmond, California. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

84 Broadway
Richmond, CA 94804-1910
Phone: (510) 231-7812
Fax: (510) 231-7810
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1821329376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2010
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address84 Broadway, Richmond, CA 94804-1910

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