DR. CHARLES PHILIP BLACKSHEAR M.D.
NPI 1114362175
General Practice in Sacramento, CA
About Dr. Charles Philip Blackshear M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES PHILIP BLACKSHEAR M.D. (NPI 1114362175) is an individual general practice provider in Sacramento, California, licensed in California (A145515) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Charles Philip Blackshear M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95814
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Blackshear's NPI number?
The NPI number for Charles Blackshear is 1114362175. It was assigned to this individual provider in the NPPES registry on May 5, 2013.
Where is Charles Blackshear located?
Charles Blackshear practices at 651 I St, Sacramento, CA 95814. The listed phone number is (916) 874-6752.
What is Charles Blackshear's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Charles Blackshear enrolled in Medicare?
Yes. Charles Blackshear is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charles Blackshear was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Charles Philip Blackshear, M.D. · NPI 1114362175
General Practice physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since May 5, 2013.
## Identity
- **NPI:** 1114362175 (Entity type: Individual)
- **Enumerated:** May 5, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** A145515 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 651 I ST, Sacramento, CA 95814-2400
- **Phone:** (916) 874-6752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114362175) · Data from the CMS NPPES public registry.