Smart Siskiyou Medical Arts, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A45016 Issued in CA

Legal business name

SMART SISKIYOU MEDICAL ARTS, INC.

Practice address

444 Bruce St
Yreka, CA 96097-3450

Phone

(530) 842-4121

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel R Pereira, M.D.

Title

Owner/President

Phone

(530) 521-3500

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frances Carol Young, CRNA

  • Certified Registered Nurse Anesthetist
  • Yreka, CA
  • NPI 1700980430
  NPD (past)
• Maria T. Barton, CRNA

  • Certified Registered Nurse Anesthetist
  • Honolulu, HI
  • NPI 1841396488
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1497763239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15546",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958521546",
            "telephone_number": "877-693-2787",
            "fax_number": "858-505-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973450",
            "telephone_number": "530-842-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SISKIYOU MEDICAL ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-521-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A45016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "611685800",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6330337",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siskiyou Optical
• Siskiyou Pharmacy Services Inc
• Siskiyou Professional Medical Service, Prof. Corp.
• Richard Slarve, M.D.
• Tari L Slizewski, LMFT
• Delores Smith
• Nicole Klaus Smith, DNP, RN, FNP-BC
• Renee L Smith, MFT
• Rose Smith, MS
• Roy E Smith, MD

• Anesthesiology Physician in Yreka, CA
• Providers in Yreka, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.