Gary Callahan-Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108953 Issued in CA

Practice address

15200 Foothill Blvd
San Leandro, CA 94578-1013

Phone

(510) 352-9690

NPI assigned

Nov 30, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1336859404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29159 CHUTNEY RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446732",
            "telephone_number": "925-390-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781013",
            "telephone_number": "510-352-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN-SMITH",
        "first_name": "GARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Yasmin Calderon, MD
• Andrea Calfuquir
• California Cardiovascular Consultants
• California Emergency Physicians Medical Group
• California Ophthalmic Laser Associates, Medical PC
• Lakisha Nicole Callahan
• Patricia Labrie Calloway, RN
• Calmedics Medical Transportation
• Betty J Calvin, CRT,M
• Alejandra Camacho

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.