Erik Kristopher Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21692 Issued in CA

Practice address

925 Bevins CT
Lakeport, CA 95453-9754

Phone

(707) 263-8382

NPI assigned

Jul 12, 2011

Last updated

Aug 1, 2025By 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 names 1

• Erik K Smith Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erik.smith.p1@direct.apdss.nextgenshare.com
• Direct secure messaging: erik.smith.p1@direct.lcthc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glavinovich Medical Corporation

  dba California Regenerative Wound Care

  • Prevention Professional
  • Laguna Beach, CA
  • NPI 1033086269
  Medicare reassignment NPD
• Lake County Tribal Health Consortium Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeport, CA
  • NPI 1881697381
  Medicare reassignment NPD
• Palatnik Smith Health Care Corp

  dba Capitol Urgent Care

  • Urgent Care Clinic/Center
  • Sacramento, CA
  • NPI 1861906455
  NPD (past) Authorized official
• Lake County Tribal Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clearlake, CA
  • NPI 1285000810
  NPD (past)
• Palatnik Medical Corporation

  dba Allmed Medical Center

  • Clinic/Center
  • Sacramento, CA
  • NPI 1891813085
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1396033395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "STE 602",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614542",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BEVINS CT",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539754",
            "telephone_number": "707-263-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Elkhorn Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95842",
            "country_code": "US",
            "telephone_number": "916-334-1100",
            "fax_number": "916-334-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14678 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229290",
            "country_code": "US",
            "telephone_number": "707-263-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIK",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIK",
            "last_name": "SMITH",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sierra Pathways, a Licensed Clinical Social Worker Corporation (Sierra Pathways)
• Lorena Dias Roco Silva
• Dan Sleeth
• Sheldon King Sloan, PA-C
• Monnie Marie Smevold
• Jennifer Stolworthy Smith
• Amanda L Smithers, PA-C
• Jacquline Gail Smythe, MFC 43231
• Nardia Sokol, DPM
• Hailey Brooke Sommerfeld

• Physician Assistant in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.