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

Walter Lee Blackburn, DO

Individual provider Anesthesiology Physician · NPI 1457738494

Walter Lee Blackburn, DO is an Anesthesiology in Sacramento, California. Qualified in 2015, 11 years ago. Practices with Central Anesthesia Service Exchange Medical Group Inc, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3315 Watt Ave
Sacramento, CA 95821-3600
Phone: (916) 481-6800
Fax: (916) 481-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20A19254 (CA)

Record details

NPI number1457738494
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 29, 2015
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Anesthesia Service Exchange Medical Group Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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