Individual provider Active NPI

Kyle Clark Smith, MD

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1407376106
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157640 Issued in CA
Practice address
951 Reserve Dr Ste 100
Roseville, CA 95678-1352
Phone
(916) 800-0321
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A157640 CA Primary

Addresses

Primary practice location

951 Reserve Dr Ste 100
Roseville, CA 95678-1352

Mailing address

4720 Sundance CT
Loomis, CA 95650-7963
Phone (916) 800-0321

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
I20200310001674 CA Practitioner - Family Practice 4486908597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Smith Family MedicineGroup PAC ID 5193211175, 2 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

568 N Sunrise Ave
Roseville, CA 95661-3097

951 Reserve Dr
Suite 100
Roseville, CA 95678-1352
Phone (916) 800-0321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157640CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric L Ellis MD Inc CurrentSince Mar 1, 2020 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 1, 2020 Accepting new patients
Smith Family Medicine Family Medicine CurrentSince Jan 3, 2026 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter West Bay Medical Foundation Family Medicine Past Accepting new patients

Locations

77 Lincoln Blvd
Ste 1
Lincoln, CA 95648
Phone (916) 258-2751

951 Reserve Dr
Ste 100
Roseville, CA 95678
Phone (916) 800-0321

568 N Sunrise Ave
Ste 250
Roseville, CA 95661
Phone (916) 865-1100

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: kyle.smith@1068523211522052.direct.elationemr.com
  • Direct secure messaging: kyle.smith.1@2545.direct.athenahealth.com
  • Direct secure messaging: ksmith371818@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1407376106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SUNDANCE CT",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956507963",
            "telephone_number": "916-800-0321",
            "fax_number": "916-975-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 RESERVE DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781352",
            "telephone_number": "916-800-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.