Individual provider Active NPI

Marie-Pierre Thibodeau, M.D

  • Specialist
  • San Francisco, CA
National Provider Identifier
1033434691
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
110065 Issued in CA
Practice address
350 Parnassus Ave
Suite 900, Box 1207
San Francisco, CA 94117-3608
Phone
(415) 476-1451
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 110065 CA Primary

Addresses

Primary practice location

350 Parnassus Ave
Suite 900, Box 1207
San Francisco, CA 94117-3608

Mailing address

1232 Arguello Blvd Apt 1
San Francisco, CA 94122-2749
Phone (415) 216-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110065CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1033434691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 ARGUELLO BLVD APT 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222749",
            "telephone_number": "415-216-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE",
            "address_2": "SUITE 900, BOX 1207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-476-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "MARIE-PIERRE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "110065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.