Organization Active NPI

Laurel Fertility Care

  • Reproductive Endocrinology Physician
  • San Francisco, CA
National Provider Identifier
1245249853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G79169 Issued in CA
Legal business name
LAUREL FERTILITY CARE
Doing business as
Fertility Associates of the Bay Area
Practice address
1700 California St
Suite 570
San Francisco, CA 94109-4586
Phone
(415) 673-9199
Fax
(415) 673-8796
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Collin B Smikle, M.D.NPI 1942389184
Title
Medical Director
Phone
(415) 673-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X G79169 CA Primary

Addresses

Primary practice location

1700 California St
Suite 570
San Francisco, CA 94109-4586

Mailing address

1700 California St
Suite 570
San Francisco, CA 94109-4586
Phone (415) 673-9199

Other names 1

  • Fertility Associates of the Bay Area Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1067633Laurel Fertility Care, Inc1700 California St, Ste 570, San Francisco, CA 94109AccreditationMar 11, 2027

National Provider Directory

National Provider Directory

Locations

1524 McHenry Ave
Ste 370
Modesto, CA 95350
Phone (209) 527-7741

1700 California St
Ste 570
San Francisco, CA 94109
Phone (415) 673-9199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245249853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 570",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-673-9199",
            "fax_number": "415-673-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST",
            "address_2": "SUITE 570",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094586",
            "telephone_number": "415-673-9199",
            "fax_number": "415-673-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL FERTILITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMIKLE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-673-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G79169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fertility Associates of the Bay Area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.