Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justin Blackmon

Individual provider Physician Assistant · NPI 1699182832

Justin Blackmon is a Physician Assistant in LA Jolla, California. Qualified in 2014, 12 years ago. Practices with La Jolla Observation Medicine, a 24-clinician group and accepts Medicare assignment. Licensed in California, District of Columbia and Illinois.

Years since qualifying
12
Licensed in
CA, DC, IL
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 626-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53958 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA031058 (DC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.005596 (IL)

Record details

NPI number1699182832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESOctober 31, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice La Jolla Observation Medicine — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients252
Services billed 297 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $121 4 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Scripps Memorial Hospital La Jolla Hospital · La Jolla, CA

Colleagues at La Jolla Observation Medicine

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 24 clinicians in the practice; 9 are shown here.

Other providers in LA Jolla