Alton J. Smalley, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2150 Issued in CA

Practice address

12140 New York Ranch Road
Jackson Rancheria Health Complex
Jackson, CA 95642-9344

Phone

(209) 257-2400

Fax

(209) 257-2403

NPI assigned

Jul 19, 2005

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1316946551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NEW YORK RANCH ROAD",
            "address_2": "JACKSON RANCHERIA HEALTH COMPLEX",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429344",
            "telephone_number": "209-257-2400",
            "fax_number": "209-257-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NEW YORK RANCH ROAD",
            "address_2": "JACKSON RANCHERIA HEALTH COMPLEX",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429344",
            "telephone_number": "209-257-2400",
            "fax_number": "209-257-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "ALTON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW RR PROVIDER #",
            "identifier": "P00452685",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR INDIVIDUAL PROV. #",
            "identifier": "48006076",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Child & Family Services
• Sierra Child & Family Services
• Sierra Eyecare Associates
• Daniel Anthony Simpson, M.A.
• Dwight Daniel Simpson, D.D.S.
• Laurie Smalley, RDH
• Ivan Soria, NP
• Sound Inpatient Physicians Medical Group
• Leah Ann Stafford, P.T. ASSISTANT
• Sophie Starostina

• Podiatrist in Jackson, CA
• Providers in Jackson, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.