Individual provider Active NPI

Steele Clarke Smith, MD

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1912000365
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C24221 Issued in CA
Practice address
3055 W Orange Ave
Suite 205
Anaheim, CA 92804-3154
Phone
(714) 527-7707
Fax
(714) 527-8709
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C24221 CA Primary

Addresses

Primary practice location

3055 W Orange Ave
Suite 205
Anaheim, CA 92804-3154

Mailing address

3055 W Orange Ave
Suite 205
Anaheim, CA 92804-3154
Phone (714) 527-7707

Other identifiers 4

IdentifierTypeStateIssuer
W22191OtherCAMEDICARE GROUP PTAN
WC24221COtherCAMEDICARE INDIVIDUAL PTAN
05D0582567OtherCACLIA
C24221OtherCASTATE LICENSE #

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C24221CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Solutions of California PastSince Jun 1, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912000365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE",
            "address_2": "SUITE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043154",
            "telephone_number": "714-527-7707",
            "fax_number": "714-527-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE",
            "address_2": "SUITE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043154",
            "telephone_number": "714-527-7707",
            "fax_number": "714-527-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEELE",
        "middle_name": "CLARKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C24221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "W22191",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WC24221C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0582567",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "C24221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.