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

Randy Blake, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1881006674

Randy Blake, RN is a Psychiatric/Mental Health Registered Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

550 S Vermont Ave Fl 10
Los Angeles, CA 90020-1912
Phone: (310) 217-7312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 563948 (CA)

Record details

NPI number1881006674
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 28, 2014
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address735 N Neil St, West Covina, CA 91791-1120

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