Healthcare Provider Details

I. General information

NPI: 1033023817
Provider Name (Legal Business Name): JESTON BLAIR PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JESSE BLAIR PARAMEDIC

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SMITH BROTHERS CT
CHICO CA
95926-5212
US

IV. Provider business mailing address

6 SMITH BROTHERS CT
CHICO CA
95926-5212
US

V. Phone/Fax

Practice location:
  • Phone: 530-588-4815
  • Fax:
Mailing address:
  • Phone: 530-588-4815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP29834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: