Eric J Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G40135 Issued in CA

Practice address

2850 Telegraph Ave.
Suite 120
Berkeley, CA 94705-2059

Phone

(510) 204-8150

Fax

(510) 845-3035

NPI assigned

Aug 30, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1497865604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272528",
            "telephone_number": "916-854-6666",
            "fax_number": "916-854-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE.",
            "address_2": "SUITE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052059",
            "telephone_number": "510-204-8150",
            "fax_number": "510-845-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G401350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onaje Smartt, LMFT
• Jennifer Smee, MA, MFT
• Joann A. Smejkal
• Anastasiya Smith, M.A.
• Ashley Smith, FNTP
• Eva Smith, MA
• George K.L. Smith
• Grace Elizabeth Smith, LCSW
• Joanna Karen Smith, LCSW
• Jordan Smith, CNM

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.