| Kevin Blodgett, PA-C | |
|
1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 | |
| (650) 756-5630 | |
| (650) 756-0136 |
| Full Name | Kevin Blodgett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1850 Sullivan Ave, Daly City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619173010 | NPI | - | NPPES |
| P00615831 | Other | CA | MEDICARE RR |
| PA19212 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19212 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Blodgett, PA-C 1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 Ph: (650) 756-5630 | Kevin Blodgett, PA-C 1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 Ph: (650) 756-5630 |
Elena Beider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Dr Ste 310, Daly City, CA 94015 Phone: 650-652-8500 | |
Carol Marraccini-otto, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Sullivan Ave, Suite 330, Daly City, CA 94015 Phone: 650-756-5630 Fax: 650-756-1964 | |
Lia Renee Westhafer, MSPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8290 | |
Tung T Quach, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Sullivan Ave Ste 330, Daly City, CA 94015 Phone: 650-756-5630 Fax: 650-756-0136 | |
Ms. Sharon Moriah Wells, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Sullivan Ave, Eighth Floor, Daly City, CA 94015 Phone: 650-991-5914 | |
Richard D De Castro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 330, Daly City, CA 94015 Phone: 650-756-5630 Fax: 650-756-0136 | |
Mrs. Norma Cristina Espinoza, NP/PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave Rm 606, Daly City, CA 94015 Phone: 650-301-0500 Fax: 650-994-2716 |