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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | D02509144 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
710 BAIR ISLAND RD APT 401 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285013284 | Hunter Bergamasco | Perfusionist | 710 Bair Island Rd Apt 401, Redwood City, CA 94063-5550 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 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 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| 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] |
| 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 |
| 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 | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on MR. BLAINE CHADWICK.
| 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.