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

Raylene Blandino, PA

Individual provider Surgical Physician Assistant · NPI 1083636401

Raylene Blandino, PA is a Surgical Physician Assistant in Lodi, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

801 S Ham Ln Ste A
Lodi, CA 95242-7502
Phone: (209) 333-3376
Show map & directions

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

Additional practice locations (1)

  • 50 S San Mateo Dr, San Mateo, CA 94401-3857 — (650) 342-3225

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence PA16850 (CA)

Record details

NPI number1083636401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024