Organization Active NPI

Smrutirekha Misra, M.D., Inc

  • Internal Medicine Physician
  • San Ramon, CA
National Provider Identifier
1730158452
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A063713 Issued in CA
Legal business name
SMRUTIREKHA MISRA, M.D., INC
Practice address
2301 Camino Ramon
Suite 110
San Ramon, CA 94583-4440
Phone
(925) 361-5550
Fax
(925) 361-5553
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Smrutirekha Misra, M.D.
Title
Owner/Physician
Phone
(925) 361-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A063713 CA Primary

Addresses

Primary practice location

2301 Camino Ramon
Suite 110
San Ramon, CA 94583-4440

Mailing address

2301 Camino Ramon
Suite 110
San Ramon, CA 94583-4440
Phone (925) 361-5550

Other identifiers 1

IdentifierTypeStateIssuer
05D1015415OtherCACLIA

National Provider Directory

National Provider Directory

Locations

2301 Camino Ramon
Ste 110
San Ramon, CA 94583
Phone (925) 361-5531

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730158452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON",
            "address_2": "SUITE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-361-5550",
            "fax_number": "925-361-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON",
            "address_2": "SUITE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-361-5550",
            "fax_number": "925-361-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMRUTIREKHA MISRA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "SMRUTIREKHA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "925-361-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A063713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1015415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.