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Blaise Desouza

  • Male

Medical Specialty

Professional ID

  • NPI: 1144433343
  • PECOS ID: 2769537398
  • Enrollment ID: I20090903000633
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1976

Hospital Service

  • Hospital CCN1: 050498
  • Business Name (LBN)1: Sutter Auburn Faith Hospital
  • Hospital CCN2: 050108
  • Business Name (LBN)2: Sutter Medical Center, Sacramento

Medical Practices

  • Organization Name: Foresthill Medical Center Inc
  • Group Practice ID assigned by PECOS: 0941454409
  • Number of Group Practice member: 0

Location

  • Address1: 23000 Foresthill Rd
  • Address2:
  • City: Foresthill
  • State: California
  • Zip Code: 95631
  • Phone Number: (530)367-2229

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes