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Contact Information

ERIC S BELLFORT, PA
20103 LAKE CHABOT RD
CASTRO VALLEY, CA94546
 Phone: 209-342-2300
 Fax: 209-524-4240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ERIC S BELLFORT · (Male)

NPI Number 1073504403
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/03/2005
Last updated 11/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA14504
  • CA Medicaid OPA145040
  • CA Other OPA145040 BLUE SHIELD
Hospital affiliation(s)
  • VERDE VALLEY MEDICAL CENTER - (Acute Care)
    269 SOUTH CANDY LANE
    COTTONWOOD, AZ 86326
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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