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

Nicholas Blakely, PA-C

Individual provider Physician Assistant · NPI 1275345753

Nicholas Blakely, PA-C is a Physician Assistant in San Juan Capistrano, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585
Phone: (949) 443-4303
Fax: (949) 443-4033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23141 Moulton Pkwy Ste 108, Laguna Hills, CA 92653-1241 — (949) 443-4303

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66041 (CA)

Record details

NPI number1275345753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing addressPo Box 7087, Orange, CA 92863-7087

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