Eric S. Bellfort in Castro Valley - Emergency
Eric S. Bellfort - NPI 1073504403
Eric S. Bellfort is a Emergency in Castro Valley, California. Eric S. Bellfort practices all healthcare services and medical treatments related to Emergency. The NPI Number for Eric S. Bellfort is 1073504403. The last update date is 2020-11-18.
Eric S. Bellfort's current location address is 20103 Lake Chabot Rd, Castro Valley, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Eric S. Bellfort is 20103 Lake Chabot Rd, Castro Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric S. Bellfort |
|---|---|
| Address | 20103 Lake Chabot Rd, Castro Valley, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1073504403 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2020-11-18 |
Provider Mailing Address Detail
| Address | 20103 Lake Chabot Rd |
|---|---|
| City | Castro Valley |
| State | California (CA) |
| Post Code | 94546 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency |
|---|---|
| Taxonomy | 364Se0003X |
| Licence No | PA14504 |
|
Definition: An advanced practice registered nurse with expertise in emergency and trauma nursing care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPA145040 | CA | BLUE SHIELD | |
| OPA145040 | CA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Eric S. Bellfort is located?
The Eric S. Bellfort is situated at the following address: 20103 Lake Chabot Rd, Castro Valley, CA, 94546.
What is Eric S. Bellfort's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric S. Bellfort's specialized field of practice is Emergency, and the corresponding taxonomy code that categorizes this area of specialization is 364Se0003X.
What is Eric S. Bellfort's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric S. Bellfort is Emergency, and the taxonomy classification code that categorizes this area of expertise is 364Se0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073504403 to Eric S. Bellfort?
The Centers for Medicare & Medicaid Services assigned the 1073504403 to Eric S. Bellfort on 2005-11-03.
When was the information related to Eric S. Bellfort most recently updated or refreshed?
The details pertaining to the Eric S. Bellfort, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-18.
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