Dr. Gerald Alan Blake , MD
Specialist • Calimesa, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Blake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gerald Blake, MD was a registered Specialist practicing in Calimesa, CA. Throughout an active medical career spanning 19 years, Dr. Blake provided care at the practice location at 1096 CALIMESA BLVD STE D until profile deactivation on 2025-11-13.
Historical Medicare Part B clinical services included initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1096 Calimesa Blvd Ste D
Calimesa, CA 923201559
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Calimesa, CA
Practicing in Calimesa, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
24 | 24 | $250.00 | $211.13 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 13, 2025
NPI status registered as active in NPPES database
Registered at 1096 CALIMESA BLVD STE D, CALIMESA, CA 923201559 (Tel: 9097221240)
Registered at 1694 CACTUS WREN COURT, BEAUMONT, CA 922238579 (Tel: 9097221240)
Recorded as GERALD BLAKE, M.D.
Specialist (License #A32432 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1694 Cactus Wren Court
Beaumont, CA 922238579
Phone: 9097221240
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