DR. PETER THIBODEAU (NPI# 1114952629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114952629 |
| Entity Type | Individual |
| Full Name | DR. PETER THIBODEAU |
| Credential | D.C. |
| Practice Address |
3121 Park Ave B Soquel CA 95073-2920 |
| Practice Telephone | 8314622727 |
| Mailing Telephone | 8314622727 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
DC10123 | CA | Chiropractic Providers |
| Street Address |
3121 PARK AVE B |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708040 | Anne Bridget Howard | Physical Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073-2920 | 2005-11-23 |
| 1679937924 | Suhas G Kshirsagar | Health Educator | 3121 Park Ave, Ste D, Soquel, CA 95073-2920 | 2016-04-12 |
| 1629494521 | Debra Jill Houston | Marriage & Family Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073 | 2014-03-16 |
| 1134552425 | Randolph F Brock | Psychologist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2013-08-09 |
| 1710237920 | Qualium Corp | Clinic/Center | 3121 Park Ave, Suite C, Soquel, CA 95073-2920 | 2012-09-14 |
| 1942481312 | Jean Anne Doverspike | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2007-11-14 |
| 1548395692 | Lisa Lin | Acupuncturist | 3121 Park Ave, Ste J, Soquel, CA 95073-2920 | 2007-02-22 |
| 1770629719 | Carol Feinfield Berman | Social Worker | 3121 Park Ave, Suite I, Soquel, CA 95073-2956 | 2007-01-29 |
| 1881779627 | Earl Lebow | Psychologist | 3121 Park Ave, Suite I, Soquel, CA 95073 | 2006-10-26 |
| 1235163411 | Aneita Sharples Radov | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1144450966 | Victoria Eagle | Counselor | 2425 Porter Street, #7, Soquel, CA 95073 | 2009-07-15 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346715174 | Kaci Madden | Chiropractor | 5665 Oberlin Dr Ste 102, San Diego, CA 92121-1739 | 2018-10-08 |
| 1336681865 | Inside Out Health | Chiropractor | 501 Soquel Ave Ste G, Santa Cruz, CA 95062-2322 | 2016-11-15 |
| 1447606934 | Integrated Systems Medical Group | Chiropractor | 9800 Mira Lee Way, San Diego, CA 92126-4713 | 2016-05-13 |
| 1144674292 | Heath Chiropractic & Naturopathic Corporation | Chiropractor | 2381 Mariner Square Dr, 170, Alameda, CA 94501-6463 | 2016-04-14 |
| 1821450800 | Natasha Fallahi | Chiropractor | 2730 Telegraph Ave, Berkeley, CA 94705-1131 | 2016-03-28 |
| 1639554454 | Daniel Alfred Nash II | Chiropractor | 1160 Pitt School Rd, Suite F, Dixon, CA 95620-2100 | 2015-07-22 |
| 1851772420 | Andres Garcia | Chiropractor | 994 Sea Cliff Dr, Carlsbad, CA 92011-1141 | 2015-06-09 |
| 1487071858 | Naomi Ariana Downey | Chiropractor | 2260 Thistle Patch Rd, Newcastle, CA 95658-9759 | 2014-03-24 |
| 1265861272 | Adam P Harcourt | Chiropractor | 804 Anacapa St, Santa Barbara, CA 93101-2212 | 2013-11-11 |
| 1255689766 | Rose Marie Pack | Chiropractor | 77564 Country Club Dr Ste 218, Palm Desert, CA 92211-6249 | 2012-08-15 |
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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.