FORESTHILL MEDICAL CENTER INC – NPI #1568410421
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

FORESTHILL MEDICAL CENTER INC is a provider located in FORESTHILL, CA. NPPES has assigned the NPI number 1568410421 to FORESTHILL MEDICAL CENTER INC on May 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FORESTHILL MEDICAL CENTER INC is also known by the name BLAISE DESOUZA MD. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORESTHILL MEDICAL CENTER INC below.

NPI Profile for
FORESTHILL MEDICAL CENTER INC

NPI Number
1568410421
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORESTHILL MEDICAL CENTER INC
Other Name: BLAISE DESOUZA MD
Primary location
23000 FORESTHILL RD
FORESTHILL, CA 95631
Phone: (530) 367-2229 Fax: (530) 367-4161
Mailing address
PO BOX 1040
FORESTHILL, CA 95631-1040
Phone: (530) 367-2229 Fax: (530) 367-4161
Organization Subpart
No
Authorized Official
BLAISE DESOUZA
PRESIDENT
Phone: (530) 367-2229
Updated
Identifiers

Identifiers for FORESTHILL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA5362017
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA A37917

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.