Active NPI
Marjorie A. Smith, M.D.
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G 79504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G 79504 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Health | Current | Accepting new patients | |
| The Davis Street Community Center Incorporated | Current | Accepting new patients | |
| Pacific Family Medicine Clinic Inc | Current | 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
- https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
- msmith808438@direct.ochin.org
- marjorie.smith.p1@direct.cmcentersinc.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1780054379
-
- Specialist
- Millbrae, CA
- NPI 1356723605
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1215358924
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1942387188
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.