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

Michael P Blasko, PA

Individual provider Physician Assistant · NPI 1124100300

Michael P Blasko, PA is a Physician Assistant in Newport Beach, California. Qualified in 2003, 23 years ago. Practices with Regents of the University of California, a 26-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone: (949) 335-7500
Fax: (949) 387-1206
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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 00000PA17281 (CA)

Record details

NPI number1124100300
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESDecember 1, 2021
Mailing address4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Regents Of The University Of California — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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