MATTHEW BLAISDELL (NPI# 1780039164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780039164 |
| Entity Type | Individual |
| Full Name | MATTHEW BLAISDELL |
| Credential | D.O. |
| Practice Address |
2480 Sonoma St Redding CA 96001 |
| Mailing Address |
2175 Rosaline Ave. Redding CA 96001 |
| Practice Telephone | 5302257800 |
| Mailing Telephone | 5302257800 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2480 SONOMA ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013024926 | Aaron G. Osborne, D.o., Inc. | Orthopaedic Surgery | 2480 Sonoma St, Redding, CA 96001-3027 | 2006-08-24 |
| 1255960308 | Kristi Kwan | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-04-01 |
| 1851920904 | Jeremy Feck | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-04-01 |
| 1851929111 | Therese Santos | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-03-31 |
| 1184252439 | Jackie Lui | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-03-31 |
| 1194353516 | Andrew Crooks | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-03-31 |
| 1477048114 | Emily Patterson | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2018-06-26 |
| 1063907806 | Jason Cheung | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2018-06-25 |
| 1225523087 | Chisom Ofodire | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2018-06-25 |
| 1578097275 | Andrew Taylor Yen | Family Medicine | 2480 Sonoma St, Redding, CA 96001 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770009102 | Alexandra R Rusu | Student in an Organized Health Care Education/Training Program | 1116 Pine St, Redding, CA 96001-0702 | 2017-08-17 |
| 1477835155 | Sarah Marie Halcomb | Student in an Organized Health Care Education/Training Program | 547 Turquoise Ct, Redding, CA 96003-3344 | 2011-09-19 |
| 1639358534 | Moira Maria Friedland | Student in an Organized Health Care Education/Training Program | 591 Hilltop Dr Apt 21, Redding, CA 96003-4836 | 2007-10-26 |
| 1255948055 | Carli Fabbri | Student in an Organized Health Care Education/Training Program | 1465 Victor Ave, Redding, CA 96003-4856 | 2020-09-25 |
| 1013539824 | Reisa Rara | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-05-14 |
| 1881214203 | Mark Alexander Rizk | Student in an Organized Health Care Education/Training Program | 1400 Market St Ste 8103, Redding, CA 96001-1050 | 2020-04-26 |
| 1912536798 | Muhammad Kamal Iftikhar | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-04-03 |
| 1255960308 | Kristi Kwan | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-04-01 |
| 1851920904 | Jeremy Feck | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-04-01 |
| 1851929111 | Therese Santos | Student in an Organized Health Care Education/Training Program | 2480 Sonoma St, Redding, CA 96001-3027 | 2020-03-31 |
| Find all providers in REDDING | ||||
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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.