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

Individual provider General Practice Physician · NPI 1457476038

Norma Lynn Blackwater, MD is a General Practice in Los Angeles, California. Graduated from University of North Dakota School of Medicine in 1993, 33 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
University of North Dakota School of Medicine
Licensed in
CA
In the registry since
2007
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

1125 W 6th St Ste 103
Los Angeles, CA 90017-1833
Phone: (213) 202-3970
Fax: (213) 975-9257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G83912 (CA)

Record details

NPI number1457476038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESDecember 8, 2011

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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