Alexandra Smith

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Practice address

2970 Market St
San Diego, CA 92102-3241

Phone

(619) 236-9492

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• House of Metamorphosis, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1114049186
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1750878054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 3RD AVE STE 121",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111300",
            "telephone_number": "619-934-5770",
            "fax_number": "619-391-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023241",
            "telephone_number": "619-236-9492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 3rd Ave Ste 121",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111300",
            "country_code": "US",
            "telephone_number": "619-934-5770 x202",
            "fax_number": "619-391-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Smith, PHD, MPH
• Alayah Smith
• Aleta Smith
• Alexander Smith
• Alexandra Smith
• Alexandra Taylor Smith
• Alexandria Evaleen Smith, LCSW
• Alexis Cole Smith, LCSW
• Alicia Coker Smith, DO
• Allison Smith

• Health Information Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Information Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.