NPIMap

Individual provider Active NPI

Zachery F Smith, DVM

  • Veterinarian
  • Concord, CA
National Provider Identifier
1063782498
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
18241 Issued in CA
Practice address
1410 Monument Blvd
Suite 100
Concord, CA 94520-4368
Phone
(925) 627-7243
NPI assigned
Jan 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 18241 CA Primary

Addresses

Primary practice location

1410 Monument Blvd
Suite 100
Concord, CA 94520-4368

Mailing address

1410 Monument Blvd
Suite 100
Concord, CA 94520-4368
Phone (925) 627-7243

Other identifiers 1

IdentifierTypeStateIssuer
18241OtherCAVMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Centers for Veterinary Specialty and Emergency Care Veterinarian Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1063782498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MONUMENT BLVD",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204368",
            "telephone_number": "925-627-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MONUMENT BLVD",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204368",
            "telephone_number": "925-627-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHERY",
        "middle_name": "F",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "18241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMB",
            "identifier": "18241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.