Provider Demographics
NPI:1154861359
Name:BLURTON, HELAYNA (PNP)
Entity type:Individual
Prefix:
First Name:HELAYNA
Middle Name:
Last Name:BLURTON
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:HELAYNA
Other - Middle Name:
Other - Last Name:GAUSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3440 LOMITA BLVD STE 352
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4821
Mailing Address - Country:US
Mailing Address - Phone:310-539-2445
Mailing Address - Fax:
Practice Address - Street 1:747 52ND ST STE 4100
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006061363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics