Individual provider Active NPI

Martin Smukler, M.D.

  • Family Medicine Physician
  • Eureka, CA
National Provider Identifier
1275523607
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G38106 Issued in CA
Practice address
3116 Harrison Ave
Eureka, CA 95503-5638
Phone
(707) 444-3885
Fax
(707) 444-3917
NPI assigned
Oct 26, 2005
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G38106 CA Primary

Addresses

Primary practice location

3116 Harrison Ave
Eureka, CA 95503-5638

Mailing address

3116 Harrison Ave
Eureka, CA 95503-5638
Phone (707) 444-3885

Other identifiers 1

IdentifierTypeStateIssuer
00G381060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38106CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Environmental Health Services PastSince Feb 4, 2013 Accepting new patients
Six Rivers Emergency Physicians Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1275523607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955035638",
            "telephone_number": "707-444-3885",
            "fax_number": "707-444-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955035638",
            "telephone_number": "707-444-3885",
            "fax_number": "707-444-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUKLER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G38106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G381060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.