Active NPI
Chanel Beaudoin Cloutier, MD, PHD
- Plastic Surgery Physician
- Palo Alto, CA
National Provider Identifier
1194248153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A150899
- Practice address
- 770 Welch Road, Suite 400
Palo Alto, CA 94304 - Phone
- (650) 723-5824
- Fax
- (650) 725-6605
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A150899 | CA | Primary |
Addresses
Primary practice location
770 Welch Road, Suite 400
Palo Alto, CA 94304
Mailing address
251 Swain Way
Palo Alto, CA 94304
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150899 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1194248153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SWAIN WAY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WELCH ROAD, SUITE 400",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-723-5824",
"fax_number": "650-725-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUDOIN CLOUTIER",
"first_name": "CHANEL",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A150899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.