Active NPI
Collin B Smikle, MD
- Reproductive Endocrinology Physician
- San Francisco, CA
National Provider Identifier
1942389184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- G079169
- Practice address
- 1700 California St
Suite 570
San Francisco, CA 94109-4586 - Phone
- (415) 673-9199
- Fax
- (415) 673-8796
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | G079169 | CA | Primary |
Addresses
Primary practice location
1700 California St
Suite 570
San Francisco, CA 94109-4586
Mailing address
1700 California St
Suite 570
San Francisco, CA 94109-4586
Phone (415) 673-9199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G079169 | Other | CA | CA 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G079169 | CA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Fertility Care | Reproductive Endocrinology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1245249853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1942389184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CALIFORNIA ST",
"address_2": "SUITE 570",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094586",
"telephone_number": "415-673-9199",
"fax_number": "415-673-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CALIFORNIA ST",
"address_2": "SUITE 570",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094586",
"telephone_number": "415-673-9199",
"fax_number": "415-673-8796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIKLE",
"first_name": "COLLIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "G079169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE #",
"identifier": "G079169",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, 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.