Bethany Blacketer, M.D.
Family Medicine in Templeton, CA. Individual provider (NPI-1).
NPI number1487764833
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1487764833
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bethany Blacketer
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A69805 | CA | Yes |
Practice location
1330 Las Tablas RdTempleton, CA 93465-9758
Phone 805-542-6700 · Fax 805-542-6791
Mailing address
2050 S Blosser RdSanta Maria, CA 93458-7310
Phone 805-361-8030 · Fax 805-361-8097
Other practice locations
1140 Main St
Livingston, CA 95334-1257
Livingston, CA 95334-1257
Phone 209-394-7913 · Fax 209-394-9093
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Family Medicine Physician providers in Templeton · All 480 providers in Templeton
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