CECELIA R BLAWIE (NPI# 1245261742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245261742 |
| Entity Type | Individual |
| Full Name | CECELIA R BLAWIE |
| Credential | MD |
| Practice Address |
1800 N California St Stockton CA 95204-6019 |
| Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Practice Telephone | 3304934443 |
| Practice Fax Number | 3304938677 |
| Mailing Telephone | 3304934443 |
| Mailing Fax Number | 3304938677 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G70136 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | G70136 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G701360 | 05 |
| Street Address |
1800 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974219 | St. Joseph's Surgery Center Lp | Clinic/Center | 1800 N California St, Ste 1, Stockton, CA 95204-6019 | 2005-06-28 |
| 1679174940 | Simon Yeung | Pharmacist | 1800 N California St, Stockton, CA 95204-6019 | 2020-11-04 |
| 1275140584 | Rajwinder K Gill | Registered Nurse | 1800 N California St, Stockton, CA 95204-6019 | 2020-09-30 |
| 1447865787 | Rinky Saini Prasad | Registered Nurse | 1800 N California St, Stockton, CA 95204-6019 | 2020-09-14 |
| 1821609611 | Dustin Tien Le | Pharmacist | 1800 N California St, Stockton, CA 95204-6019 | 2020-08-14 |
| 1013534254 | Nancy Thi Nguyen | Speech-Language Pathologist | 1800 N California St, Stockton, CA 95204-6019 | 2020-07-04 |
| 1861015646 | Sana Mohyud Din Chaudhary | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-27 |
| 1942822184 | Kenneth Jerome Hainsworth | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-11 |
| 1083236368 | Chase Rogers | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-10 |
| 1093336919 | Joel Rabara | Respiratory Therapist, Registered | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956132 | Adventist Health Physicians Network | Internal Medicine | 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 | 2020-06-16 |
| 1750773792 | Centurion Valley Healthcare Inc. | Internal Medicine | 6337 Brook Hollow Cir, Stockton, CA 95219-2441 | 2015-02-27 |
| 1134477599 | Mahboob Ali | Internal Medicine | 1801 E March Ln Ste A170, Stockton, CA 95210-6673 | 2012-08-16 |
| 1841586781 | Brian Aloyisus Boyle | Internal Medicine | 112 Dunkard Church Rd, Stockton, NJ 08559-1406 | 2011-06-20 |
| 1154635506 | Shalini Madugundi | Internal Medicine | 2015 E Mariposa Rd, Stockton, CA 95205-7735 | 2010-07-27 |
| 1952534927 | Geriatrics Long Term Care Medical Corporation | Internal Medicine | 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 | 2009-08-25 |
| 1558504514 | Ivan Safonoff | Internal Medicine | 90 Stompf Tavern Rd, Stockton, NJ 08559-1801 | 2009-04-07 |
| 1427212653 | Connie Tang Singh | Internal Medicine | 1801 E March Ln Ste C310, Stockton, CA 95210-6683 | 2008-07-16 |
| 1285897892 | Rashaad Ahmed Chothia | Internal Medicine | 415 E Harding Way Ste I, Stockton, CA 95204 | 2008-07-03 |
| 1346400546 | Swetha Ramachandran | Internal Medicine | 5049 Pine Lake Ct, Stockton, CA 95219-2030 | 2008-06-11 |
| Find all providers in STOCKTON | ||||
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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.