Casey Jake Smith

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A189429 Issued in CA

Practice address

2950 International Blvd
Oakland, CA 94601-2228

Phone

(505) 862-2029

NPI assigned

Apr 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of California, San Francisco School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Native American Health Center IncGroup PAC ID 4284697202, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American Carequest Home health agency, Burlingame, CA, CCN 058315
• Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csmith663911@direct.ochin.org

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

• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1669642914
  Medicare reassignment Care Compare group NPD
• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1477250504
  NPD
• Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1619147030
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Carequest, Inc

  • Home Health Agency
  • Burlingame, CA
  • NPI 1417058397
  Care Compare affiliation
• City & County of San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1083648810
  Care Compare affiliation
• City & County of San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1164609962
  Care Compare affiliation

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1033738851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 DIVISADERO ST STE 306",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "505-862-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASEY",
        "middle_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A189429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Smith, RN
• Betty L Smith, RN,PHN
• Brianna Lynnae Smith
• Caitlin Smith, DO
• Caitlyn Smith, ATC
• Denise Gabriela Smith
• Dillon M Smith
• Elizabeth Smith
• Elizabeth Haddon Smith
• Emma Marie Smith, MD, MPH

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.