Curtis Nathaniel Smith Sr., MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A30448 Issued in CA

Practice address

110 W Castle St
Suite 200
Mount Shasta, CA 96067-2206

Phone

(530) 926-4401

Fax

(530) 926-3791

NPI assigned

Jan 6, 2006

Last updated

Jul 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt Shasta Cardiology, Inc

  • Cardiovascular Disease Physician
  • Mount Shasta, CA
  • NPI 1760672521
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1003894213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1253",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672617",
            "telephone_number": "530-923-4401",
            "fax_number": "530-926-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CASTLE ST",
            "address_2": "SUITE 200",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672206",
            "telephone_number": "530-926-4401",
            "fax_number": "530-926-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CURTIS",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A30448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A30448",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A304480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00464316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anca Marissa Sira, L.AC, FABORM
• Siskiyou Union High School District
• Siskiyou Wellness Community Mental Health
• Nathan Sivananda, D.C.
• Kelsey Sloat
• Sonoma Valley Emergency Physician Medical Group, Inc
• Anna Soviecke
• Michael Zbiniew Staszel, D.O.
• Rebecca Stein
• Strawberry Valley Counseling Services

• Cardiovascular Disease Physician in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.