Judy F. Blodgett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1273 Issued in CA

Practice address

7291 Boulder Ave
Suite #2C
Highland, CA 92346-3389

Phone

(909) 862-4226

Fax

(909) 862-0319

NPI assigned

May 24, 2007

Last updated

Jul 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1730390865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE",
            "address_2": "SUITE #2C",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463389",
            "telephone_number": "909-862-4226",
            "fax_number": "909-862-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "JUDY",
        "middle_name": "F.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian N.B. Beshara, M.D.
• Lizbet Betancio
• Xiomara Betanco
• Jo Devenne Elek Sullano Bilbao, D.D.S.
• Amanda Ann Blanton
• Catherine Bodman
• Amanda Bowen, MPH, RD, CDE
• Katherine Boyko, LMT
• Darrell Broussard II, PMHNP
• Joeann Brown

• Physician Assistant in Highland, CA
• Providers in Highland, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.