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

Mr. Blake Spurlock

Individual provider Physician Assistant · NPI 1033925607

Mr. Blake Spurlock is a Physician Assistant in Fremont, California. Qualified in 2024, 2 years ago. Practices with Washington Township Medical Foundation, a 126-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

2500 Mowry Ave Ste 222
Fremont, CA 94538-1605
Phone: (510) 818-1160
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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 PA66392 (CA)

Record details

NPI number1033925607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address2500 Mowry Ave Ste 222, Fremont, CA 94538-1605

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Washington Township Medical Foundation — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fremont