Individual provider Active NPI

Tyson Lane Smith

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1306188651
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A15436 Issued in CA
Practice address
3490 California St Ste 201
San Francisco, CA 94118-1892
Phone
(415) 440-2972
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A15436 CA Primary

Addresses

Primary practice location

3490 California St Ste 201
San Francisco, CA 94118-1892

Mailing address

428 Liberty St
San Francisco, CA 94114-2949

Other practice location 1

2022 N 38th Pl
Phoenix, AZ 85008-3056
Phone (602) 403-0332

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
I20180815001020 CA Practitioner - Anesthesiology 1557610169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Associates Medical Group, IncGroup PAC ID 1850334384, 108 clinicians
Central Anesthesia Service Exchange Medical Group IncGroup PAC ID 9638082530, 106 clinicians

Practice addresses (Care Compare)

1 Daniel Burnham CT
Apt 205
San Francisco, CA 94109-5456
Phone (441) 221-7056

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

3315 Watt Ave
Sacramento, CA 95821-3600
Phone (916) 481-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15436CAMDOptometrist
20A15436CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Anesthesia Service Exchange Medical Group, Inc. Anesthesiology CurrentSince May 13, 2023 Accepting new patients
Anesthesia Care Associates Medical Group Inc Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Sacsolano Anesthesia Exchange Medical Group, Inc Anesthesiology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

Interoperability endpoints

  • Direct secure messaging: tsmith414266@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1306188651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LIBERTY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 CALIFORNIA ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181892",
            "telephone_number": "415-440-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 N 38th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850083056",
            "country_code": "US",
            "telephone_number": "602-403-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYSON",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A15436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.