Individual provider Active NPI

Michelle Guchereau, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1750508198
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A98203 Issued in CA
Practice address
582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone
(833) 931-1716
Fax
(877) 448-3551
NPI assigned
Apr 19, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD208479 OR
Psychiatry Physician 2084P0800X A98203 CA
Child & Adolescent Psychiatry Physician 2084P0804X MD208479 OR
Child & Adolescent Psychiatry Physician 2084P0804X A98203 CA Primary

Addresses

Primary practice location

582 Market St Ste 1608
San Francisco, CA 94104-5317

Mailing address

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (833) 931-1716

Other practice location 1

6080 Center Dr Fl 6
Los Angeles, CA 90045-9205
Phone (833) 931-1716

Other practice location 2

1020 SW Taylor St Ste 560
Portland, OR 97205-2533
Phone (833) 931-1716

Other practice location 3

4295 Gesner St Ste 2E
San Diego, CA 92117-6660
Phone (833) 931-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617003050 CA Practitioner - Psychiatry 2163728262 Reassigns benefits to 1 organization
I20230717001152 OR Practitioner - Psychiatry 2163728262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Well Coast Medical CorporationGroup PAC ID 4587094826, 11 clinicians

Practice addresses (Care Compare)

1020 SW Taylor St
Suite 560
Portland, OR 97205-2533
Phone (833) 931-1716

4295 Gesner St
Suite 2E
San Diego, CA 92117-6660
Phone (833) 931-1716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98203CAMDPsychiatry Physician
MD208479ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Coast Medical Corporation Psychiatry CurrentSince May 6, 2019 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatry PastSince Dec 13, 2022 Accepting new patients

Locations

200 Tamal Plz
Ste 235
Corte Madera, CA 94925
Phone (415) 297-0815

2900 Bristol St
Costa Mesa, CA 92626
Phone (714) 545-4818

2900 Bristol St
Ste D106
Costa Mesa, CA 92626
Phone (626) 991-2099

4295 Gesner St
Ste 2E
San Diego, CA 92117
Phone (619) 276-9271

582 Market St
Ste 1608
San Francisco, CA 94104
Phone (415) 521-1506

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

1020 SW Taylor St
Ste 560
Portland, OR 97205
Phone (503) 231-1711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHGBD/Endpoint/FCHGBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1750508198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "877-448-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "877-448-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Center Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459205",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 SW Taylor St Ste 560",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052533",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUCHEREAU",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD208479",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A98203",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD208479",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A98203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.