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

Mr. Michael Blackwell, PA-C

Individual provider Physician Assistant · NPI 1629054705

Mr. Michael Blackwell, PA-C is a Physician Assistant in Atascadero, California. Qualified in 2003, 23 years ago. Practices with Central Coast Urgent Care Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9700 El Camino Real Ste 100
Atascadero, CA 93422
Phone: (805) 461-9000
Fax: (805) 461-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17331 (CA)

Record details

NPI number1629054705
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESApril 23, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Central Coast Urgent Care Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Atascadero