Active NPI
Jaime Dumoit Smith
- Specialist
- San Francisco, CA
National Provider Identifier
1942974662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 995 Potrero Avenue, Building 90, 5TH Floor (WD95)
San Francisco, CA 94110 - Phone
- (628) 206-6574
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
995 Potrero Avenue, Building 90, 5TH Floor (WD95)
San Francisco, CA 94110
Mailing address
995 Potrero Avenue, Building 90, 5TH Floor (WD95)
San Francisco, CA 94110
Phone (628) 206-6574
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1942974662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 POTRERO AVENUE, BUILDING 90, 5TH FLOOR (WD95)",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "628-206-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVENUE, BUILDING 90, 5TH FLOOR (WD95)",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "628-206-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMOIT SMITH",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.