Provider Demographics
NPI:1134137409
Name:DAVID, MARIE-CLAUDE (MD)
Entity Type:Individual
Prefix:
First Name:MARIE-CLAUDE
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-5336
Practice Address - Fax:916-733-5385
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38760208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000810342701OtherPHCS
CA4507610OtherAETNA
CA9002120OtherPACIFICARE
CAA38760OtherBLUE CROSS
CAMCMG124600OtherWESTERN HEALTH ADVANTAGE
CA00A387600OtherBLUE SHIELD
CA3781393OtherCIGNA
CA1454019OtherUNITED HEALTHCARE
CA503635OtherHEALTH NET
CA5218OtherINTERPLAN
CA1089751OtherGREAT WEST
CA00A387600Medicaid
CA1454019OtherUNITED HEALTHCARE