Individual provider · Type 1 NPI

Charles Philip Blackshear, MD

General Practice Physician · Sacramento, CA

NPI number 1114362175 Active

Practice location

651 I St
Sacramento, CA 95814-2400

Call (916) 874-6752 Map

Mailing address

2613 Kline Ct
Davis, CA 95618-7668

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA145515 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1114362175

Charles Philip Blackshear, MD's National Provider Identifier is 1114362175, issued on May 5, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 14, 2026.