Individual provider Active NPI

Ralph L Smathers, M.D.

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1699856187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G49899 Issued in CA
Practice address
14651 S Bascom Ave
Suite 210
Los Gatos, CA 95032-2014
Phone
(408) 356-6611
Fax
(408) 356-9001
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G49899 CA Primary

Addresses

Primary practice location

14651 S Bascom Ave
Suite 210
Los Gatos, CA 95032-2014

Mailing address

14651 S Bascom Ave
Suite 210
Los Gatos, CA 95032-2014
Phone (408) 356-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000436 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0749281988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49899CAMDPediatric Dentist
G49899CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Diagnostic Imaging, Inc. Single Specialty CurrentSince Dec 2, 2022 Accepting new patients
El Camino Health Medical Network, LLC Single Specialty CurrentSince Apr 13, 2023 Accepting new patients
El Camino Health Medical Group Single Specialty Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5860 Owens Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 467-1400

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

7777 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8442

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699856187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "SUITE 210",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-356-6611",
            "fax_number": "408-356-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "SUITE 210",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-356-6611",
            "fax_number": "408-356-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMATHERS",
        "first_name": "RALPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G49899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.