Lisa Suzanne Blackley, MD
Emergency Medicine in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1821782053
StatusActive
Last updated in NPPESMay 18, 2026
Details
- NPI
- 1821782053
- Entity type
- Individual (NPI-1)
- Name
- Lisa Suzanne Blackley
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2023
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A200136 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
26520 Cactus AveMoreno Valley, CA 92555-3927
Phone 951-486-5434
Mailing address
26520 Cactus AveMoreno Valley, CA 92555-3927
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emergency Medicine Physician providers in Moreno Valley, CA
- Umron Alkotob, DONPI 1215519822
- David Bedrous, PA-CNPI 1750802914
- Tristen Burt, DONPI 1598409112
- California Emergency Physicians Medical GroupNPI 1427127661
- Cep America - CaliforniaNPI 1215042338
- Cep America - CaliforniaNPI 1235510264
- Eric Hanale Chai, DONPI 1740977271
- Samnuel Choa Chua, M.D.NPI 1699880724
- Kevin Dales, DONPI 1821660481
- Vi Am Dinh, M.D.NPI 1699919647
All 44 Emergency Medicine Physician providers in Moreno Valley · All 3,435 providers in Moreno Valley
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.