Active NPI
Horace Smith Sr., LICENSED PSYCH TECH
- Case Manager/Care Coordinator
- Fairfield, CA
National Provider Identifier
1881590115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 32840
- Practice address
- 301 Daphne Dr
Fairfield, CA 94533-1114 - Phone
- (707) 452-6247
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 32840 | CA | Primary |
Addresses
Primary practice location
301 Daphne Dr
Fairfield, CA 94533-1114
Mailing address
1210 Gulf Dr
Fairfield, CA 94533-7099
Phone (707) 452-6427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 716 Establishment | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1881590115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 GULF DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945337099",
"telephone_number": "707-452-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 DAPHNE DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945331114",
"telephone_number": "707-452-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HORACE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LICENSED PSYCH TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "32840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.