John Philip Smith, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G415470 Issued in CA

Practice address

14911 National Ave
#1
Los Gatos, CA 95032-2632

Phone

(408) 358-3448

Fax

(408) 356-4628

NPI assigned

Sep 13, 2005

Last updated

Nov 2, 2011By 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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• John P Smith MD a Professional Corporation

  dba National Avenue Medical Associates

  • Cardiovascular Disease Physician
  • Los Gatos, CA
  • NPI 1548259385
  Authorized official Same address or phone
• Bay Area Mobile, Inc

  dba Axiom Mobile Imaging

  • Physiological Laboratory
  • San Carlos, CA
  • NPI 1588932230
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1457346843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 NATIONAL AVE",
            "address_2": "#1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322632",
            "telephone_number": "408-358-3448",
            "fax_number": "408-356-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14911 NATIONAL AVE",
            "address_2": "#1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322632",
            "telephone_number": "408-358-3448",
            "fax_number": "408-356-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G415470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0600002672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleepquest, Inc.
• Elizabeth Tis Sleeth, CMT, MA
• Michael Slone
• Ralph L Smathers, M.D.
• Edward John Smith, LMFT
• Kyle A Smith, MPT, ATC
• Lindsay Smith, LCSW
• SNF Properties, Inc. (Emmanuel Convalescent of Los Gatos)
• Annette Soby
• Thant Zin Soe, DPT

• Cardiovascular Disease Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.