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

4949 Stevens Creek Blvd
Santa Clara, CA 95051-6661
Phone: (408) 260-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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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