Active NPI
Marisa Tienyun Smith, MD
- Emergency Medicine Physician
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A185755
- Practice address
- 1100 Veterans Blvd
Redwood City, CA 94063-2037 - Phone
- (650) 299-2000
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A185755 | CA | Primary |
Addresses
Primary practice location
1100 Veterans Blvd
Redwood City, CA 94063-2037
Mailing address
1100 Veterans Blvd
Redwood City, CA 94063-2037
Phone (650) 299-2000
Other practice location 1
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 2
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273
Other practice location 3
1415 Ross Ave
El Centro, CA 92243-4306
Phone (800) 926-8273
Other names 1
- Marisa Smith
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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
- Emergency Medicine
- Education
- Wright State University Boonshoft School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Ross Ave
El Centro, CA 92243-4306
Phone (858) 759-4765
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 686-3800
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (858) 657-7000
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
- Scripps Mercy Hospital
- El Centro Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A185755 | CA | MD | Emergency Medicine Physician |
| 276906 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Emergency Providers, a Prof. Corp. | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
Locations
1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045
File 57326
Los Angeles, CA 90074
4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1497790539
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Emergency Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1780870899
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1447756259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 VETERANS BLVD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632037",
"telephone_number": "650-299-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VETERANS BLVD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632037",
"telephone_number": "650-299-2000"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-723-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6655 Alvarado Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921205208",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Ross Ave",
"address_purpose": "LOCATION",
"city": "El Centro",
"state": "CA",
"postal_code": "922434306",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MARISA",
"middle_name": "TIENYUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A185755",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1100 Veterans Blvd",
"city": "Redwood City",
"state": "CA",
"country_code": "US",
"postal_code": "940632037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARISA",
"last_name": "SMITH",
"credential": "MD, MPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.