DR. DAVID MICHAEL BLACKLOCK JR. (NPI# 1851503593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851503593 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL BLACKLOCK JR. |
| Credential | M.D. |
| Practice Address |
521 Parnassus Ave Rm C-450 San Francisco CA 94143-2206 |
| Mailing Address |
88 Townsend St Apt 420 San Francisco CA 94107-6024 |
| Practice Telephone | 4154762131 |
| Mailing Telephone | 4155154960 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A95723 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1851503593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801804570 | David M Blacklock | Anesthesiology | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2006-08-04 |
| Street Address |
521 PARNASSUS AVE RM C-450 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850470 | Robin L Corelli | Pharmacist | 521 Parnassus Ave, Room C-152, San Francisco, CA 94143-2206 | 2005-09-07 |
| 1629605779 | Kevin Huynh | Student in an Organized Health Care Education/Training Program | 521 Parnassus Ave, San Francisco, CA 94143-2206 | 2020-03-26 |
| 1477901296 | University of California, San Francisco | General Acute Care Hospital | 521 Parnassus Ave, 522c, Box 0440, San Francisco, CA 94143-2206 | 2016-06-02 |
| 1417322835 | Dieter Adelmann | Anesthesiology | 521 Parnassus Ave, Ucsf Department of Anesthesia and Perioperative Care, San Francisco, CA 94143-2206 | 2015-12-10 |
| 1508237207 | Wipusit Taesombat | Surgery | 521 Parnassus Ave, C-341, San Francisco, CA 94143-2206 | 2015-10-07 |
| 1831566827 | Ucsf | Dentist | 521 Parnassus Ave, San Francisco, CA 94143-2206 | 2015-08-26 |
| 1902284607 | Matthew Kurt Chroust | Student in an Organized Health Care Education/Training Program | 521 Parnassus Ave, Room C522, San Francisco, CA 94143-2206 | 2015-05-13 |
| 1376921445 | Krishna Shah | Pharmacist | 521 Parnassus Ave, C-152, San Francisco, CA 94143-0622 | 2015-05-11 |
| 1356728752 | Annie Chou | Dentist | 521 Parnassus Ave, C-646, San Francisco, CA 94143-2206 | 2015-05-05 |
| 1154713212 | Gary Armitage | Dentist | 521 Parnassus Ave, Ucsf School of Dentistry, San Francisco, CA 94143-0650 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356429 | Fleurise Montecillo | Anesthesiology | 505 Parnassus Ave, Box 0648, L008r, San Francisco, CA 94143-0648 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457752198 | Mvp Pediatric and Urgent Care A Professional Corporation | Anesthesiology | 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4101 | 2014-09-12 |
| 1518207471 | Robert W Wong | Anesthesiology | 1121 New Ave, Alhambra, CA 91801-4915 | 2013-02-28 |
| 1609145549 | Joanna Treder Kawecki | Anesthesiology | 13053 Maxwell Dr, Tustin, CA 92782-0919 | 2011-12-21 |
| 1891940078 | Susan Firestone | Anesthesiology | 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 | 2008-12-01 |
| 1619918364 | Toni Denise Daniels | Anesthesiology | 1430 13th Avenue, Oakland, CA 94606-1912 | 2006-06-10 |
| 1649880147 | Pediatric Office Anesthesia Specialists | Anesthesiology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2020-08-09 |
| 1225596422 | Certified Anesthesia Consultants, Inc. | Anesthesiology | 1351 E Spruce Ave Ste 110, Fresno, CA 93720-3342 | 2019-03-06 |
| 1285192617 | Alexander R Schmidt | Anesthesiology | 300 Pasteur Dr, 3rd Floor Mail Code 5640, Stanford, CA 94305 | 2019-03-05 |
| 1104394329 | Scott C. Wallace Md Inc | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2018-11-06 |
| 1962944074 | Dennis Chang Md Pediatric Anesthesia Apc | Anesthesiology | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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| 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.