Tolbert Jones Small, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A23282 Issued in CA

Practice address

9925 International Blvd Ste 5
Oakland, CA 94603-2558

Phone

(510) 777-1177

NPI assigned

May 27, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Wayne State University School of Medicine

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Roots Community Health CenterGroup PAC ID 8022256007, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roots Community Health Center

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1083858823
  Medicare reassignment Care Compare group
• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1669642914
  Medicare reassignment NPD
• Harriet Tubman Medical Office

  dba Tolbert J. Small, M.D.

  • Specialist
  • Oakland, CA
  • NPI 1245325349
  NPD (past) Authorized official
• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1477250504
  NPD
• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1619147030
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  dba Alta Bates Summit Medical Center - Summit Campus

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740283464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 INTERNATIONAL BLVD STE 5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 INTERNATIONAL BLVD STE 5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032558",
            "telephone_number": "510-777-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "TOLBERT",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A23282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811185259",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689863516",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Slovis, MD
• Andrew V. Slucky, MD
• Holly Sly
• Juliet Natalie Ai Small Ernst
• Lauren G Small, ATC
• Charlene Smalls
• Tricia Anne Smallwood, NP
• Monica Jillyn Smart, RN, FNP
• Ashley Raquelle Smartt
• Katherine Smartt

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.