Individual provider Active NPI

Jeannette Mathieu, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1285169714
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A160128 Issued in CA
Practice address
1001 Potrero Avenue BLDG 5, 1St FL
San Francisco, CA 94110-3518
Phone
(628) 206-8020
Fax
(628) 206-4004
NPI assigned
Apr 21, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 13276869-1205 UT
Diagnostic Radiology Physician 2085R0202X A160128 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue BLDG 5, 1St FL
San Francisco, CA 94110-3518

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Other practice location 1

5169 S Cottonwood St Ste 303
Intermountain Medical Center Eccles Outpatient Center
Murray, UT 84107-6768
Phone (801) 507-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, CA, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230912001615 UT Practitioner - Diagnostic Radiology 0446614390 Reassigns benefits to 2 organizations
I20240103001384 ID Practitioner - Diagnostic Radiology 0446614390 Reassigns benefits to 1 organization
I20250912003631 CA Practitioner - Diagnostic Radiology 0446614390 Reassigns benefits to 3 organizations
I20260226004143 WA Practitioner - Diagnostic Radiology 0446614390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Tellica Imaging LLCGroup PAC ID 3577950765, 17 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-5871

2941 S 38TH St
Suite E
Tacoma, WA 98409-5647
Phone (253) 534-8689

33 Beideman St
San Francisco, CA 94115-3901
Phone (805) 682-7744

5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7000

5217 S State St
Suite 200
Murray, UT 84107-4812
Phone (208) 417-5100

8505 W Overland Rd
Boise, ID 83709-1644
Phone (208) 417-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 29, 2023 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 29, 2025 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 7, 2023 Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 7, 2023 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 7, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jul 28, 2025 Accepting new patients
City & County of San Francisco CurrentSince Jul 28, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tellica Imaging, LLC CurrentSince Jan 7, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 29, 2023 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
City & County of San Francisco Current Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology PastSince Oct 5, 2025 Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

375 Laguna Honda Blvd
#B200
San Francisco, CA 94116
Phone (415) 759-3348

8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

5169 S Cottonwood St
Ste 303
Salt Lake City, UT 84107
Phone (801) 507-3747

5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

421 E Main St
Auburn, WA 98002
Phone (253) 204-2530

2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1285169714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE BLDG 5, 1ST FL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8020",
            "fax_number": "628-206-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5169 S Cottonwood St Ste 303",
            "address_2": "Intermountain Medical Center Eccles Outpatient Center",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076768",
            "country_code": "US",
            "telephone_number": "801-507-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "JEANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "UT",
            "license": "13276869-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A160128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.