Organization Active NPI

Smita Chandra M.D. Inc

  • Internal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1942056395
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SMITA CHANDRA M.D. INC
Practice address
130 Tampico
Walnut Creek, CA 94598-2948
Phone
(925) 933-7970
NPI assigned
Apr 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Smita Chandra, MDNPI 1811917826
Title
MD
Phone
(415) 307-0957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

130 Tampico
Walnut Creek, CA 94598-2948

Mailing address

235 Weber LN
Danville, CA 94526-1991
Phone (415) 307-0957

Other practice location 1

235 Weber Ln
Danville, CA 94526-1991
Phone (415) 307-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903001695 CA Part B Supplier - Clinic/Group Practice 0749729853 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1942056395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEBER LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261991",
            "telephone_number": "415-307-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMPICO",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982948",
            "telephone_number": "925-933-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Weber Ln",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945261991",
            "country_code": "US",
            "telephone_number": "415-307-0957",
            "fax_number": "586-991-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITA CHANDRA M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "415-307-0957",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.