MARIE-JOSEE THIBAULT (NPI# 1033168042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033168042 |
| Entity Type | Individual |
| Full Name | MARIE-JOSEE THIBAULT |
| Credential | M.D. |
| Practice Address |
5767 W Century Blvd Suite 200 Los Angeles CA 90045-5632 |
| Mailing Address |
1615 Highway 34 E Ste B Newnan GA 30265-1325 |
| Practice Telephone | 3103018708 |
| Practice Fax Number | 3103018751 |
| Mailing Telephone | 3103018708 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 84458 | GA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | A51019 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A51019 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A510190 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9460 N Name Uno Ste 210, Gilroy, CA 950203532 | 4088470888 | |
| 559 Abbott St Ste A, Salinas, CA 939014325 | 8317571007 | 8317570352 |
| Street Address |
5767 W CENTURY BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536462 | Michael B Gorin | Ophthalmology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2006-02-10 |
| 1114372356 | Jules Stein Institute Medical Group | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2016-04-25 |
| 1487013579 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2016-02-17 |
| 1487062790 | Alicia Trocker | Dietitian, Registered | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2014-07-30 |
| 1215377320 | Regents of The University of California | Internal Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2013-07-03 |
| 1508121674 | Jason Nikzad | Family Medicine | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2012-07-05 |
| 1679808117 | Thomas Joseph Early | Family Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2009-10-15 |
| 1033360771 | Satiro Nakamura De Oliveira | Pediatrics | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-09-30 |
| 1487815882 | Sarah Nena Mourra | Psychiatry & Neurology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-06-19 |
| 1811166572 | Jesse Lawton Clark | Internal Medicine | 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1679120422 | Sameer Bashey Md Pllc | Dermatology | 9201 W Sunset Blvd Ste 414, Los Angeles, CA 90069-3705 | 2019-08-26 |
| 1538640669 | James Y. Wang, Md, Inc. | Dermatology | 888 S Figueroa St Ste 1050, Los Angeles, CA 90017-5310 | 2018-08-27 |
| 1235639691 | Pearl E. Grimes Md, Inc. | Dermatology | 5670 Wilshire Blvd Ste 650, Los Angeles, CA 90036-5609 | 2018-02-12 |
| 1578926622 | Tuyet Ann Nguyen | Dermatology | 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | 2016-04-05 |
| 1215370960 | Courtney Phillips | Dermatology | 1200 N State St # 3250, Los Angeles, CA 90033-1029 | 2013-04-12 |
| 1760749311 | Ardalan Minokadeh | Dermatology | 9201 W Sunset Blvd Ste 602, Los Angeles, CA 90069-3707 | 2012-04-20 |
| 1518254481 | Samuel Jackson Balin | Dermatology | 200 Medical Plz Ste 450, Los Angeles, CA 90095 | 2011-06-29 |
| 1689963340 | Consuelo Veronica David | Dermatology | 3520 Somerset Dr, Los Angeles, CA 90016-4808 | 2011-04-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.