Active NPI
Smrutirekha Misra, M.D., Inc
- Internal Medicine Physician
- San Ramon, CA
National Provider Identifier
1730158452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A063713
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1015415 | Other | CA | CLIA |
National Provider Directory
National Provider DirectoryLocations
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.