Robert Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4020 Civic Center Dr
San Rafael, CA 94903-4173

Phone

(415) 491-2548

Fax

(415) 472-2186

NPI assigned

Oct 4, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Marin Housing Authority

  • Case Management Agency
  • San Rafael, CA
  • NPI 1154466472
  NPD (past)
• The Housing Authority of the County of Marin

  • Case Management Agency
  • San Rafael, CA
  • NPI 1386787588
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1598049082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034173",
            "telephone_number": "415-491-2548",
            "fax_number": "415-472-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034173",
            "telephone_number": "415-491-2548",
            "fax_number": "415-472-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Smith, D.C.
• Karl Smith
• Katie Ellen Smith
• Mary Jane Smith, RN, PHN, LMFT
• Michael Smith
• Sierra Smith, RD
• Stainton Graham Smith, AMFT, APCC
• Stuart Holloway Smith, D.D.S.
• William Matthew Smith
• Dania Smithstein

• Case Manager/Care Coordinator in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.