Provider Demographics
NPI:1912011545
Name:CLAURE, REBECCA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:CLAURE
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 1:300 PASTEUR DR RM H3580
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-5728
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-497-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55168207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1912011545Medicaid
TX00N47FMedicare ID - Type UnspecifiedGRP MEDICARE
CA1912011545Medicaid
TX8645J1Medicare ID - Type UnspecifiedIND MEDICARE
TX00N47FOtherBCBSTX GRP PIN
TX88410YOtherBCBSTX IND PIN
TX7979059OtherAETNA PIN
TX10026436OtherAMERIGROUP PIN
TX8645J1Medicare ID - Type UnspecifiedIND MEDICARE
TX124104OtherSUPERIOR PIN
1447220850OtherGRP NPI NUMBER
TX1816019OtherFIRSTHEALTH PIN