DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) – Psychiatry Physician, NPI 1164838009

DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) is a healthcare provider. based in San diego, California. specializing in PSYCHIATRY. They hold the professional credentials PHARM.D., D.O.. They hold a License No. RPH 66301 (CA). The NPI Number for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) is 1164838009

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)
NPI
1164838009
Phone
(858) 427-5060
Address
5060 SHOREHAM PL STE 100
Enumeration Date
10 July 2014
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Secondary Phone
7603216776
Graduation Year
2017 (9 years ago)
PAC ID
7416373766
Group Practice PAC ID
6002989522
Professional Enrollment ID
I20230810002709
Address ID
CA922343344CA69175RDXX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

4,134 PSYCHIATRY in CA

Provider Addresses for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)

  • 5060 SHOREHAM PL STE 100

    SAN DIEGO, CA 921225904

    Phone: (858) 427-5060

    Type: Location

  • 69175 RAMON RD BLDG A

    CATHEDRAL CITY, CA 922343344

    Phone: (760) 321-6776

    Type: Mailing

  • 11234 ANDERSON ST

    LOMA LINDA, CA 923542804

    Phone: (909) 558-9532

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: ITI, Inc. ($25).

Total Amount

$71

General + Research + Ownership

Payments

3

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810002709IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002989522View full group profile
NameSpecialtyState
Physician AssistantAZ
Internal Medicine, Infectious DiseaseCA
-CA
Family PracticeCA
Emergency MedicineCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Internal MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)?
The registry entry for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) shows NPI 1164838009.
Does the public listing show DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) as active?
DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)'s specialty?
The extract shows Psychiatry Physician for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)?
DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.) is associated with San Diego, California in the same public data insurers reference.
Why is information missing for DR. BLAIRE ASHLEY HEATH (PHARM.D., D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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