Dr. Douglas John Blatz
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
221 E Hacienda Ave Ste C
Campbell
, California 95008-6625
Dr. Douglas John Blatz
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
221 E Hacienda Ave Ste C
Campbell
, California 95008-6625
(408) 374-5835
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Douglas John Blatz
- 221 E Hacienda Ave Ste C
- Campbell, CA
- Zip : 95008-6625
- Fax : (408) 374-5835
- Phone : (408) 374-5700
Second Address
- Dr. Douglas John Blatz
- 221 E Hacienda Ave Ste C
- Campbell, CA
- Zip : 95008-6625
- Fax : (408) 374-5835
- Phone : (408) 374-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | G30769 | CA |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G30769 | CA |
National Provider Identifier
| NPI | 1073582649 |
|---|---|
| Provider Name | Dr. Douglas John Blatz |
| First Address | Campbell, CA 95008-6625 |
| Second Address | Campbell, CA 95008-6625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 19/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G30769 | (05) | CA |
| A44539 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.