Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mackenzie Blaylock

Individual provider Physician Assistant · NPI 1639082985

Mackenzie Blaylock is a Physician Assistant in Irvine, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

9401 Jeronimo Rd
Irvine, CA 92618-1908
Phone: (714) 744-7631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1639082985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 27, 2026

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