Active NPI
Steven C Smith, M.D.
- Specialist
- Freedom, CA
National Provider Identifier
1255419701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G22987
- Practice address
- 150 Carnation Dr Ste 5
Freedom, CA 95019-3132 - Phone
- (831) 728-5055
- Fax
- (831) 722-3641
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G22987 | CA | Primary |
Addresses
Primary practice location
150 Carnation Dr Ste 5
Freedom, CA 95019-3132
Mailing address
509 Poppy Hill Rd
Watsonville, CA 95076-6302
Phone (831) 728-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103000103 | CA | Practitioner - General Surgery | 3274634266 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G22987 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Para la Gente | Current | Accepting new patients | |
| Salud Para la Gente | Current | Accepting new patients |
Locations
195 Aviation Way
Ste 200
Watsonville, CA 95076
204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413
45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Seaside, CA
- NPI 1700142544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255419701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 POPPY HILL RD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950766302",
"telephone_number": "831-728-5055",
"fax_number": "831-722-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CARNATION DR STE 5",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193132",
"telephone_number": "831-728-5055",
"fax_number": "831-722-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G22987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freedom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.