NPIMap

Organization Active NPI

MJ Thibault, MD, Inc

  • Specialist
  • Encinitas, CA
National Provider Identifier
1427093293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51019 Issued in CA
Legal business name
MJ THIBAULT, MD, INC
Practice address
227 N El Camino Real
Ste 100
Encinitas, CA 92024-5821
Phone
(760) 632-0070
Fax
(760) 632-0071
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marie-Josee Thibault, M.D.
Title
Owner
Phone
(760) 632-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A51019 CA Primary

Addresses

Primary practice location

227 N El Camino Real
Ste 100
Encinitas, CA 92024-5821

Mailing address

227 N El Camino Real
Ste 100
Encinitas, CA 92024-5821
Phone (760) 632-0070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427093293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-632-0070",
            "fax_number": "760-632-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-632-0070",
            "fax_number": "760-632-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ THIBAULT, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIBAULT",
        "authorized_official_first_name": "MARIE-JOSEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-632-0070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.