Teresa Blake
Medical Specialty
Professional ID
- NPI: 1952739864
- PECOS ID: 0840599197
- Enrollment ID: I20161005001097
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 050360
- Business Name (LBN)1: Marin General Hospital
Medical Practices
- Organization Name: One Medical Group Inc
- Group Practice ID assigned by PECOS: 2567623739
- Number of Group Practice member: 155
Location
- Address1: 350 Bon Air Ctr
- Address2: Suite 200
- City: Greenbrae
- State: California
- Zip Code: 94904
- Phone Number: (415)578-3095
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):