Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL BLACKWELL, PA-C
ActiveMR. MICHAEL BLACKWELL, PA-C is a Physician Assistant healthcare provider located in ATASCADERO, California. NPI 1629054705 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ATASCADERO, CA
Registration Details
- NPI Number
- 1629054705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2005 (20.688057635263 yrs)
- Last Updated
- Apr 23, 2009
- License
-
PA17331 (CA)
Practice Information
- Address
-
9700 EL CAMINO REALSUITE 100ATASCADERO, CA, 93422Browse CA providers · Browse ZIP 93422
- Phone
- 8054619000
- Fax
- 8054619001
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ATASCADERO, CA
| Name | Credential | NPI |
|---|---|---|
| KRISTEN SUZANNE SCHALCK | PA | 1760587919 |
| MR. DAVID C ANDERSON II | PA-C | 1649303165 |
| THOMAS M PELUSO | PA | 1265558498 |
| MRS. NAOMI SUSANNE WAAK | PA | 1083876072 |
| TAYLOR HOLDGRAFER | — | 1972037943 |
| CHRISTOPHER RYAN TUCKER | PA | 1942853627 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.