Individual provider Active NPI

Christopher L Smale, M.D.

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1104936129
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G21573 Issued in CA
Practice address
4000 Physicians Blvd
Suite 201
Bakersfield, CA 93301-5839
Phone
(661) 327-4885
Fax
(661) 327-1430
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G21573 CA Primary

Addresses

Primary practice location

4000 Physicians Blvd
Suite 201
Bakersfield, CA 93301-5839

Mailing address

1004 Acacia Ave
Bakersfield, CA 93305-1204
Phone (661) 872-8131

Other identifiers 2

IdentifierTypeStateIssuer
942078779OtherCATAX ID
G21573OtherCACALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100809000599 CA Practitioner - Obstetrics/Gynecology 0941333181 Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1104936129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 ACACIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933051204",
            "telephone_number": "661-872-8131",
            "fax_number": "661-872-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PHYSICIANS BLVD",
            "address_2": "SUITE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015839",
            "telephone_number": "661-327-4885",
            "fax_number": "661-327-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALE",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G21573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "942078779",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "G21573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.