Ellen Meg Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6168 Issued in CA

Practice address

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599

Phone

(760) 625-0569

Fax

(760) 777-4339

NPI assigned

Nov 2, 2005

Last updated

Mar 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Esparza Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellensmith@iemg.allscriptsdirect.net

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.

• Redlands Family Practice Medical Group Inc.

  dba Optum

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1942482021
  Medicare reassignment NPD
• Redlands Family Physicians Medical Associates, Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1053390997
  NPD
• 24 Hour Urgent Care of the Desert

  • Urgent Care Clinic/Center
  • Indio, CA
  • NPI 1902245343
  NPD (past)
• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1710325683
  NPD (past)
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Beaumont

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1225029804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 CRYSTAL VIEW TER",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088707",
            "telephone_number": "951-907-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-625-0569",
            "fax_number": "760-777-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELLEN",
        "middle_name": "MEG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "ESPARZA",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Naomi Cazares Siqueiros, RADT 1
• Dominique Slawski
• Sleep Diagnostics of the Coachella Valley LLC
• Danae Smart, MD
• Deborah Smith, R.N
• Joshua Smith
• Kara Smith, PA
• Krystal Ann Smith, FNP
• Linda Anne Smith, MARRIAGE & FAMILY TH
• Nicole Smith, PPS, APCC

• Family Medicine Physician in Indio, CA
• Providers in Indio, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.