Individual provider Active NPI

Lora Michelle Smith, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1891990552
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19211 Issued in CA
Practice address
220 Montgomery St
Suite 1212
San Francisco, CA 94104-3402
Phone
(415) 392-8200
Fax
(415) 252-7176
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 PA19211 CA Primary

Addresses

Primary practice location

220 Montgomery St
Suite 1212
San Francisco, CA 94104-3402

Mailing address

220 Montgomery St
Suite 1212
San Francisco, CA 94104-3402
Phone (415) 392-8200

Other names 1

  • Lora Michelle Lewis Former name

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
I20070910000603 CA Practitioner - Physician Assistant 2466545207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19211CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Sep 10, 2014 Accepting new patients
One Medical Group, Inc CurrentSince Sep 10, 2014 Accepting new patients

Locations

220 Montgomery St
Ste 1212
San Francisco, CA 94104
Phone (415) 392-8200

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1891990552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST",
            "address_2": "SUITE 1212",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043402",
            "telephone_number": "415-392-8200",
            "fax_number": "415-392-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST",
            "address_2": "SUITE 1212",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043402",
            "telephone_number": "415-392-8200",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "LEWIS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.