Individual provider Active NPI

Marjorie A. Smith, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1386734747
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G 79504 Issued in CA
Practice address
2300 Sutter St
Suite 304
San Francisco, CA 94115-3037
Phone
(415) 248-1050
Fax
(415) 248-1054
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G 79504 CA Primary

Addresses

Primary practice location

2300 Sutter St
Suite 304
San Francisco, CA 94115-3037

Mailing address

1819 Polk St
Suite 385
San Francisco, CA 94109-3003
Phone (415) 248-1050

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
I20110317000435 CA Practitioner - Internal Medicine 8224211925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G 79504CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Aug 4, 2025 Accepting new patients
The Davis Street Community Center Incorporated CurrentSince May 18, 2021 Accepting new patients
Pacific Family Medicine Clinic Inc CurrentSince Dec 11, 2024 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065

1001 Broadway
Ste 302
Millbrae, CA 94030
Phone (415) 975-1255

3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msmith808438@direct.ochin.org
  • Direct secure messaging: marjorie.smith.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: msmith768655@direct.ochin.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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1386734747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 POLK ST",
            "address_2": "SUITE 385",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093003",
            "telephone_number": "415-248-1050",
            "fax_number": "415-248-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SUTTER ST",
            "address_2": "SUITE 304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153037",
            "telephone_number": "415-248-1050",
            "fax_number": "415-248-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARJORIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G 79504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.