| Jacob Daniel Blasi, PA-C | |
|
60 Mdg/sggpc, 101 Bodin Circle, Travis Afb, CA 94535-1809 | |
| (530) 846-9080 | |
| Not Available |
| Full Name | Jacob Daniel Blasi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 60 Mdg/sggpc, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114682291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60435 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Blasi, PA-C 60 Mdg/sggpc, 101 Bodin Circle, Travis Afb, CA 94535 Ph: () - | Jacob Daniel Blasi, PA-C 60 Mdg/sggpc, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (530) 846-9080 |
Deanna Le, Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/omrs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-413-7295 | |
Susana Quezada Awad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/hcos, 101 Bodic Cir, Travis Afb, CA 94535 Phone: 707-423-3964 | |
Heidi Lynn Shelstad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Austin Ryder Podratz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Kamille Resetz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 531 Waldron St Ste D, Travis Afb, CA 94535 Phone: 707-424-3812 | |
Shawn M Hannah, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3216 |