Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Philip Blackshear, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114362175

Dr. Charles Philip Blackshear, MD is a Student in an Organized Health Care Education/Training Program in Santa Clara, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Santa Clara, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114362175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2013
Last updated in NPPESMarch 28, 2019

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