Thea Marie Smith

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

771642 Issued in CA

Practice address

PO Box 546
San Bruno, CA 94066-0546

Phone

(650) 228-4027

NPI assigned

Jul 29, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1891617890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940660546",
            "telephone_number": "650-228-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940660546",
            "telephone_number": "650-228-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THEA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "771642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Alan Siu, PSY.D.
• Rachel Siu, PHARMD
• Disha Sivakumar
• Jacqueline Slayton
• Andrew Smilovici
• Pedro Soares Da Silva
• Kashille Cheenke Guevara Solas
• Olgapamela Solis
• Karen Solorzano Hart
• Sophia Somarriba

• Community Health Registered Nurse in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.