Individual provider Active NPI

John S Smolowe

  • Psychiatry Physician
  • Palo Alto, CA
National Provider Identifier
1679643472
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G26886 Issued in CA
Practice address
305 N California Ave Ste 202B
Palo Alto, CA 94301-4105
Phone
(650) 328-4788
Fax
(650) 327-7652
NPI assigned
Nov 9, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G26886 CA Primary

Addresses

Primary practice location

305 N California Ave Ste 202B
Palo Alto, CA 94301-4105

Mailing address

305 N California Ave Ste 202B
Palo Alto, CA 94301-4105
Phone (650) 328-4788

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 23, 2016 through Jun 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1679643472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N CALIFORNIA AVE STE 202B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943014105",
            "telephone_number": "650-328-4788",
            "fax_number": "650-327-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N CALIFORNIA AVE STE 202B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943014105",
            "telephone_number": "650-328-4788",
            "fax_number": "650-327-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLOWE",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G26886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.