Sinclair Everade Blake Jr, | |
2221 Stockton Blvd, Sacramento, CA 95817-1418 | |
(916) 734-7622 | |
Not Available |
Full Name | Sinclair Everade Blake Jr |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 25 Years |
Location | 2221 Stockton Blvd, Sacramento, 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 |
---|---|---|---|
1972688703 | NPI | - | NPPES |
327250 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
8411316 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA10003885 (Washington) | Secondary |
363A00000X | Physician Assistant | PA60143 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Pocatello Health Services Llc | 6608927637 | 153 |
Mailing Address | Practice Location Address |
---|---|
Sinclair Everade Blake Jr, 2221 Stockton Blvd, Sacramento, CA 95817-1418 Ph: () - | Sinclair Everade Blake Jr, 2221 Stockton Blvd, Sacramento, CA 95817-1418 Ph: (916) 734-7622 |
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