Michelle L. Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G059152 Issued in CA

Practice address

39400 Paseo Padre Parkway
Fremont, CA 94538

Phone

(858) 832-8963

NPI assigned

Nov 7, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1104222876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5005, PMB #46",
            "city": "RANCHO SANTE FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-832-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 PASEO PADRE PARKWAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "858-832-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G059152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Smith
• Kristina Smith
• Mabel Smith, NP
• Matthew T Smith, PSY.D.
• Megan Alexis Smith, B.S.
• Nicholas Smith, RD
• Rochell Smith, RN
• Shannon Laurel Smith, ASW
• Shannon Marie Smith, EDUCATION SPECIALIST
• Susan Smith, PHD LCSW

• Internal Medicine Physician in Fremont, CA
• Providers in Fremont, 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 Nov 7, 2014; 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.