MR. BLAINE CHADWICK


Address: 710 Bair Island Rd Apt 401, Redwood City, CA 94063-5550
Phone: 4804526901

MR. BLAINE CHADWICK (NPI# 1427436567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427436567
Entity Type Individual
Full Name MR. BLAINE CHADWICK
Practice Address 710 Bair Island Rd Apt 401
Redwood City
CA 94063-5550
Practice Telephone 4804526901
Mailing Telephone 4804526901
Enumeration Date 2015-05-08
Last Update Date 2015-05-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist D02509144 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 710 BAIR ISLAND RD APT 401
City REDWOOD CITY
State CA
Zip Code 94063-5550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285013284 Hunter Bergamasco Perfusionist 710 Bair Island Rd Apt 401, Redwood City, CA 94063-5550 2015-05-22

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NPI Name Taxonomy Address Enumeration
1578104378 Jade Francetich Psychologist 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 2019-10-02
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1750941977 County of San Mateo Clinic/Center 300 Bradford St., Redwood City, CA 94063 2019-06-19
1023678661 Linda K Watanabe Preventive Medicine 700 Bay Rd. #2803, Redwood City, CA 94063 2019-06-17
1235630369 Waverly Place Apartments, Lp Case Management 105 Waverly Place, Redwood City, CA 94063 2018-02-23
1306371679 Caely Alise Hambro Student in an Organized Health Care Education/Training Program Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 2017-04-25
1609316736 Justine Nicole Dela Cruz Nurse Practitioner 420 Broadway St # D, Redwood City, CA 94063 2017-03-08
1336683234 Babita Chopra Pharmacist 2300 Middlefield Road, Redwood City, CA 94063 2016-12-12
1073065595 Diana Genoveva Posner I Counselor 604 Prince Ave. Ste A, Redwood City, CA 94063 2016-11-01
1295288264 Benjamin Dickter Student in an Organized Health Care Education/Training Program 1107 2nd Ave, Apt 103, Redwood City, CA 94063 2016-07-26
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Taxonomy Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528597234 Samantha Kollmann Perfusionist 700 Bair Island Rd # 230-204, Redwood City, CA 94063-2872 2017-06-06
1851637573 Roy Kalu Perfusionist 830 Main St Apt 227, Redwood City, CA 94063-1942 2012-12-28
1972113397 Jason James Kalaw Perfusionist 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 2020-08-01
1629585583 Ari Auwinitzky Perfusionist 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 2018-01-02
1013445675 Clifton James Marschel Perfusionist 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 2017-05-26
1285013284 Hunter Bergamasco Perfusionist 710 Bair Island Rd Apt 401, Redwood City, CA 94063-5550 2015-05-22
1831321447 Michele Humel Adkisson Perfusionist 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 2009-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518574599 Jonathan Persa Perfusionist 500 Race St Apt 4204, San Jose, CA 95126-5155 2020-09-24
1215551825 Samantha Rhymer Perfusionist 2280 W El Camino Real Apt 3117, Mountain View, CA 94040-6231 2020-05-31
1912537770 Ecmo Prn LLC Perfusionist 1246 Mission Rd, South San Francisco, CA 94080-1212 2020-01-21
1174082424 Tun Win Perfusionist 580 N Wilma Ave Ste F, Ripon, CA 95366-9514 2019-03-17
1265900609 Juan Carlos Tud Perfusionist 250 Fernando Ave, Palo Alto, CA 94306-2814 2018-11-04
1801318431 Kevin Saiki Perfusionist 27729 Willow Trl, Escondido, CA 92026-7327 2017-07-14
1023546991 Vina Nguyen Perfusionist 105 Fairchild Dr, Mountain View, CA 94043-2014 2017-05-23
1285175679 Monette Thiele Perfusionist 668 Alice St, Monterey, CA 93940-2002 2017-03-17
1073055521 Brian Haack Perfusionist 4638 Pepperwood Ave, Long Beach, CA 90808-1071 2016-11-15
1922550664 Pablo Zubiate Perfusionist 13999 Limousin Drive, Chico, CA 95973 2016-10-28
Find all providers with the same taxonomy

Competitor

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City REDWOOD CITY
Zip Code 94063

Improve Information

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Dataset Information

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.

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