Healthcare Provider Details

I. General information

NPI: 1245147669
Provider Name (Legal Business Name): CHRISTOPHE POUCHARD NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 LAGUNA HONDA BLVD
SAN FRANCISCO CA
94116-1411
US

IV. Provider business mailing address

663 CONGO ST
SAN FRANCISCO CA
94131-2807
US

V. Phone/Fax

Practice location:
  • Phone: 415-509-4759
  • Fax:
Mailing address:
  • Phone: 415-839-9373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number692093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: