Smartloss Medicine, Inc.

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

A65939 Issued in CA

Legal business name

SMARTLOSS MEDICINE, INC.

Practice address

595 Price Ave
Second Floor
Redwood City, CA 94063-1464

Phone

(650) 701-1460

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Sean Bourke, M.D.

Title

Ceo

Phone

(650) 701-1460

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1699061267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PRICE AVE",
            "address_2": "SECOND FLOOR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631464",
            "telephone_number": "650-701-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PRICE AVE",
            "address_2": "SECOND FLOOR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631464",
            "telephone_number": "650-701-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTLOSS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "BOURKE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-701-1460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A65939",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A65939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meliha Skaljic
• Lisa Dawn Skinner, ATC, CMT
• Douglas Slakey, PHD
• Nicholas A Slappey
• Michael Jason Slear
• Andrea Michelle Smith, RN, MS, FNP-C
• Darvin Smith
• David E.C. Smith
• Deborah Schoenlein Smith, RN MS CNS
• Delmar J Smith, PA

• Obesity Medicine (Family Medicine) Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Obesity Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.