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

Jesse Raymond Blazo, LAC

Individual provider Acupuncturist · NPI 1417234675

Jesse Raymond Blazo, LAC is an Acupuncturist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1904 Franklin St Ste 500
Oakland, CA 94612-2926
Phone: (510) 817-0680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 13903 (CA)

Record details

NPI number1417234675
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

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