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

Mrs. Bethany Blacketer, MD

Individual provider Family Medicine Physician · NPI 1487764833

Mrs. Bethany Blacketer, MD is a Family Practice in Templeton, California. Qualified in 1998, 28 years ago. Practices with Community Health Centers of the Central Coast Inc, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
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

1330 Las Tablas Rd
Templeton, CA 93465-9758
Phone: (805) 542-6700
Fax: (805) 542-6791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 Main St, Livingston, CA 95334-1257 — (209) 394-7913

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A69805 (CA)

Record details

NPI number1487764833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address2050 S Blosser Rd, Santa Maria, CA 93458-7310

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Community Health Centers Of The Central Coast Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Templeton