Active NPI
Eden Lowell Smith, M.D.
- Surgery Physician
- Sonora, CA
National Provider Identifier
1518908276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G19148
- Practice address
- 680 Guzzi LN
Ste 201
Sonora, CA 95370-5288 - Phone
- (209) 536-1785
- Fax
- (209) 536-1607
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G19148 | CA | Primary |
Addresses
Primary practice location
680 Guzzi LN
Ste 201
Sonora, CA 95370-5288
Mailing address
680 Guzzi LN
Suite 201
Sonora, CA 95370-5288
Phone (209) 536-1785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G191480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19148 | CA | MD | Professional Counselor |
| G19148 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients |
Locations
14542 Lolly Ln
Sonora, CA 95370
Phone (209) 536-3625
680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785
Organizations & group practices 2
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.
-
- Surgery Physician
- Sonora, CA
- NPI 1386878767
-
dba Adventist Health Sonora
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1518908276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "SUITE 201",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-536-1785",
"fax_number": "209-536-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "STE 201",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-536-1785",
"fax_number": "209-536-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EDEN",
"middle_name": "LOWELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G19148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G191480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.