Mathieu Rousseau, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

A132009 Issued in CA

Practice address

300 Pasteur Drive
Stanford Medical Center - Thoracic Surgery
Stanford, CA 94305-5407

Phone

(650) 861-7757

NPI assigned

Jan 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1154719870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E EVELYN AVE",
            "address_2": "APT. 118",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866533",
            "telephone_number": "650-861-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "address_2": "STANFORD MEDICAL CENTER - THORACIC SURGERY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055407",
            "telephone_number": "650-861-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "MATHIEU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A132009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Ivy Rosser, MD
• Fernanda Rossi, PH.D.
• Kelly Nicole Roszczynialski, M.D.
• Alexis Anne Roth, NP-C
• Michael Evan Rothenberg, M.D., PH.D.
• Courtney A Rowe-Teeter, MS, LCGC
• Amelia Rowe
• Danielle Klaire Rowe, PA-C
• Mohana Roy, M.D.
• Andrew Lee Rozelle, MD

• Student in an Organized Health Care Education/Training Program in Stanford, CA
• Providers in Stanford, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.