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BLACKHAWK MEDICAL GROUP, INC
NPI 1366474876
Family Medicine in Danville, CA

Active since July 07, 2006CLIA 05D0924052 · Waiver
4165 BLACKHAWK PLAZA CIR, #100, DANVILLE, CA 94506(925) 736-7070(925) 736-7075 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackhawk Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKHAWK MEDICAL GROUP, INC (NPI 1366474876) is a healthcare organization registered as a family medicine in Danville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists John W Roberts, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1366474876
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKHAWK MEDICAL GROUP, INC
Location Address4165 BLACKHAWK PLAZA CIR, #100Danville, CA 94506-4904
Mailing Address4165 Blackhawk Plaza Cir, #100Danville, CA 94506-4904 · (925) 736-7070 · Fax (925) 736-7075
Phone(925) 736-7070
Fax(925) 736-7075
Organization SubpartNo
Authorized OfficialJohn W RobertsOwner/partner · (925) 736-7070
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 25, 2008
✔ NPI 1366474876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4165 BLACKHAWK PLAZA CIR, Danville, CA 94506
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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ00501ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0924052

Blackhawk Medical Group · Danville, CA
Active · expires Jan 15, 2027
CLIA Number05D0924052
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorJonathan B. Humphrey
Laboratory Phone(925) 736-7070
Laboratory LocationBlackhawk Medical Group4165 Blackhawk Plaza Circle #100, Danville, CA 94506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MICHAEL J SCHIERMAN MD A PROFESSIONAL CORPORATION
Family Medicine
4165 BLACKHAWK PLAZA CIR, SUITE 265
DANVILLE, CA 94506
Contra Costa County (925) 648-7140
BODYMAX PHYSICAL THERAPY, INC.
Physical Therapist
4165 BLACKHAWK PLAZA CIR, #275
DANVILLE, CA 94506
Contra Costa County (925) 736-1305
COURTNEY F SEPIC N.P.
Nurse Practitioner
4165 BLACKHAWK PLAZA CIR, SUITE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
PAMELA MCDONALD W.H.N.P., A.N.P.
Nurse Practitioner (Women's Health)
4165 BLACKHAWK PLAZA CIR, # 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
JULIE A LAGUARDIA F.N.P.
Nurse Practitioner (Family)
4165 BLACKHAWK PLAZA CIR, # 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
DR. DENISE O'RIORDAN M.D.
Pediatrics
4165 BLACKHAWK PLAZA CIR, SUITE #100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
PENSCOTT MEDICAL CORPORATION
Family Medicine
4165 BLACKHAWK PLAZA CIR, #250
DANVILLE, CA 94506
Contra Costa County (925) 736-8510
MELODY BENZEL
Physical Therapist (Orthopedic)
4165 BLACKHAWK PLAZA CIR, #275
DANVILLE, CA 94506
Contra Costa County (925) 736-1305

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 Blackhawk Medical Group, Inc's NPI number?

The NPI number for Blackhawk Medical Group, Inc is 1366474876. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Blackhawk Medical Group, Inc located?

Blackhawk Medical Group, Inc is located at 4165 Blackhawk Plaza Cir #100, Danville, CA 94506. The listed phone number is (925) 736-7070.

What is Blackhawk Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Blackhawk Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0924052) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blackhawk Medical Group, Inc was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.