Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Blossom Dawn Vencer Aguirre, MS, PA-C

Individual provider Physician Assistant · NPI 1235475005

MS. Blossom Dawn Vencer Aguirre, MS, PA-C is a Physician Assistant in Santa Monica, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1316 3rd Street Promenade Ste 201
Santa Monica, CA 90401-1382
Phone: (800) 567-5544
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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 PA22589 (CA)

Record details

NPI number1235475005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2012
Last updated in NPPESMarch 31, 2015

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