BLAISE DESOUZA (NPI# 1144433343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144433343 |
| Entity Type | Individual |
| Full Name | BLAISE DESOUZA |
| Credential | MD INC |
| Practice Address |
23000 Foresthill Rd Foresthill CA 95631-1040 |
| Mailing Address |
Po Box 1040 Foresthill CA 95631-1040 |
| Practice Telephone | 5303672229 |
| Practice Fax Number | 5303674161 |
| Mailing Telephone | 5303672229 |
| Mailing Fax Number | 5303674161 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A37917 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5362017 | 05 |
| Street Address |
23000 FORESTHILL RD |
| City | FORESTHILL |
| State | CA |
| Zip Code | 95631-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410421 | Foresthill Medical Center Inc | General Practice | 23000 Foresthill Rd, Foresthill, CA 95631 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720632045 | Amanda M Vanderford | Specialist/Technologist, Other | 6150 Tule Lane, Foresthill, CA 95631 | 2019-07-25 |
| 1285772780 | Foresthill Fire Protection District | Ambulance | 24320 Main St, Foresthill, CA 95631 | 2007-02-05 |
| 1346353141 | Kevin M. Fleming | Chiropractor | 24388 Main Street, Foresthill, CA 95631 | 2006-08-16 |
| 1225046402 | Daniel Keith Woodson | Dentist | 24400 Main St, Foresthill, CA 95631 | 2006-08-04 |
| 1558553990 | Daniel K. Woodson, Dds | Dentist | 24400 Main St, Foresthill, CA 95631 | 2007-08-09 |
| 1760518641 | Ronald William Berg | Chiropractor | 24005 Racetrack St., Foresthill, CA 95631-1430 | 2007-02-26 |
| 1336470145 | Leeann M Fore | Registered Nurse | 5426 Cold Springs Dr, Foresthill, CA 95631-9203 | 2010-01-18 |
| 1275538936 | Stephanie E Williams | Social Worker | 24625 Foresthill Rd, Foresthill, CA 95631-9222 | 2005-06-17 |
| 1639412489 | Heather Bird | Acupuncturist | 8420 Michigan Bluff Rd, Foresthill, CA 95631-9314 | 2013-03-30 |
| 1558808964 | Michael J. Young, Dds, Inc. | Dentist | 24400 Main St, Foresthill, CA 95631-9334 | 2017-01-23 |
| Find all providers in zip 95631 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410421 | Foresthill Medical Center Inc | General Practice | 23000 Foresthill Rd, Foresthill, CA 95631 | 2006-05-04 |
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| Find all providers with the same taxonomy | ||||
| City | FORESTHILL |
| Zip Code | 95631 |
Please comment or provide details below to improve the information on BLAISE DESOUZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.