Active NPI
Catherine Theo, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1972752095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A107063
- Practice address
- 3061 Fillmore St
San Francisco, CA 94123-4009 - Phone
- (415) 292-3440
- Fax
- (415) 561-0244
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A107063 | CA | Primary |
Addresses
Primary practice location
3061 Fillmore St
San Francisco, CA 94123-4009
Mailing address
2081 Arena Blvd
Suite: 160
Sacramento, CA 95834-2309
Phone (916) 576-7898
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107063 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1972752095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 ARENA BLVD",
"address_2": "SUITE: 160",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342309",
"telephone_number": "916-576-7898",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234009",
"telephone_number": "415-292-3440",
"fax_number": "415-561-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEO",
"first_name": "CATHERINE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A107063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.