Donald Stinson Blythe – Emergency Medicine Physician

Key facts

NPI: 1740201227
Entity type: Individual (NPI type 1)
Primary specialty: Emergency Medicine Physician 207P00000X
License: C37048 (CA)
Practice address: 4948 San Juan Ave
Fair Oaks, CA 95628-4606
Phone: (916) 966-6287
Fax: (916) 966-2541
NPI assigned: Jul 21, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

The Doctors Center Medical Group Inc. Urgent Care Clinic/Center · Fair Oaks, CA · NPI 1235238841

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
C37048	CA	MD	Emergency Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
The Doctors Center Medical Group Inc.		Current	Accepting new patients

Locations

4948 San Juan Ave
Fair Oaks, CA 95628
Phone (916) 966-6287

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Emergency Medicine Physician	207P00000X	C37048	CA	Yes

Addresses

Primary practice location

4948 San Juan Ave
Fair Oaks, CA 95628-4606

Mailing address

4948 San Juan Ave
Fair Oaks, CA 95628-4606
Phone (916) 966-6287

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Emergency Medicine Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.