Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaise W Baxter, MD

Individual provider Diagnostic Radiology Physician · NPI 1487681342

Blaise W Baxter, MD is a Diagnostic Radiology in San Francisco, California. Graduated from Dalhousie University, Faculty of Medicine in 1988, 38 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Pennsylvania, Rhode Island and Tennessee.

Years since qualifying
38
Trained at
Dalhousie University, Faculty of Medicine
Licensed in
CA, PA, RI, TN
In the registry since
2006
Specialties on file
4
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

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone: (415) 600-7887
Fax: (415) 369-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 606-2645

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD468416 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 31416 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence C171504 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD19382 (RI)

Record details

NPI number1487681342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 7, 2023
Certification dateJune 29, 2023
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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