Individual provider Active NPI

Stephen Joel Smith, PA-C

  • Physician Assistant
  • Carmichael, CA
National Provider Identifier
1740737808
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53725 Issued in CA
Practice address
6651 Madison Ave
Carmichael, CA 95608-0602
Phone
(916) 903-7145
Fax
(916) 903-7839
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA53725 CA Primary

Addresses

Primary practice location

6651 Madison Ave
Carmichael, CA 95608-0602

Mailing address

4110 Winding Bluff LN
Sacramento, CA 95841-4426
Phone (423) 762-2844

Other practice location 1

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-7059

Other practice location 2

12417 Fair Oaks Blvd
Fair Oaks, CA 95628-2501
Phone (916) 727-1400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002644 CA Practitioner - Physician Assistant 4587952304 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

12417 Fair Oaks Blvd
Suite 600
Fair Oaks, CA 95628-2500
Phone (916) 727-1400

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680

4345 Arden Way
Sacramento, CA 95864-3102
Phone (916) 727-1400

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

6651 Madison Ave
Carmichael, CA 95608-0602
Phone (916) 727-1400

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA53725CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 3, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 18, 2018 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 23, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 18, 2018 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 19, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 19, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 23, 2016 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Absolute Medical Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1450 San Pablo St
Ste 6200
Los Angeles, CA 90033
Phone (323) 442-7920

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1740737808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 WINDING BLUFF LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414426",
            "telephone_number": "423-762-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080602",
            "telephone_number": "916-903-7145",
            "fax_number": "916-903-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "916-734-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12417 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956282501",
            "country_code": "US",
            "telephone_number": "916-727-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "JOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.