Kevin Blodgett in Daly City - Physician Assistant
Kevin Blodgett - NPI 1619173010
Kevin Blodgett is a Physician Assistant in Daly City, California. Kevin Blodgett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Blodgett is 1619173010. The last update date is 2021-11-29.
Kevin Blodgett's current location address is 1850 Sullivan Ave, Daly City, California. You can contact this provider via phone number 6507565630 and fax number 6507560136. The mailing address for Kevin Blodgett is 1850 Sullivan Ave, Daly City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Blodgett |
|---|---|
| Address | 1850 Sullivan Ave, Daly City, California |
| Phone Number | 6507565630 |
| Fax Number | 6507560136 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619173010 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 1850 Sullivan Ave |
|---|---|
| City | Daly City |
| State | California (CA) |
| Post Code | 940152221 |
| Phone Number | 6507565630 |
| Fax Number | 6507560136 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19212 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00615831 | CA | MEDICARE RR | |
| PA19212 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Blodgett by the Centers for Medicare & Medicaid Services?
The Kevin Blodgett has been assigned the NPI (National Provider Identifier) 1619173010. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Blodgett's facilities are situated?
The facilities of Kevin Blodgett are physically located at the following address: 1850 Sullivan Ave, Daly City, CA, 940152221.
What is Kevin Blodgett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin Blodgett is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Kevin Blodgett receive the assignment of its 1619173010 from the Centers for Medicare & Medicaid Services?
The Kevin Blodgett was issued its 1619173010 by the Centers for Medicare & Medicaid Services on 2007-06-22.
When was the information regarding Kevin Blodgett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin Blodgett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-29.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA