Active NPI
Frederick C Blair, M.D.
- Obstetrics & Gynecology Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A67736
- Practice address
- 1234 Empire St
Fairfield, CA 94533-5711 - Phone
- (707) 427-4900
- Fax
- (707) 428-2790
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A67736 | CA | Primary |
Addresses
Primary practice location
1234 Empire St
Fairfield, CA 94533-5711
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A677360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Oklahoma College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600
1860 Pennsylvania Ave
Fairfield, CA 94533-3590
Phone (707) 646-4114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67736 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solano Regional Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Northbay Health Medical Foundation | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1234 Empire St
Fairfield, CA 94533
1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693
2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
690 Main St
Rio Vista, CA 94571
Phone (707) 374-6833
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935
100 Hospital Dr
Fl 2
Vallejo, CA 94589
Phone (707) 551-3600
101 Main St
Winters, CA 95694
Phone (530) 795-4123
Interoperability endpoints
- fblair50216@hisp.ehr.sutterhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Family Medicine Physician
- Fairfield, CA
- NPI 1528085578
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1386731768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335711",
"telephone_number": "707-427-4900",
"fax_number": "707-428-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "FREDERICK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A67736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A677360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.