Active NPI
Forrest Smith, M.D.
- Obstetrics Physician
- Pleasanton, CA
National Provider Identifier
1962504076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- C35811
- Practice address
- 1393 Santa Rita Rd Ste B
Pleasanton, CA 94566-5667 - Phone
- (925) 734-0100
- Fax
- (925) 734-0207
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | C35811 | CA | Primary |
Addresses
Primary practice location
1393 Santa Rita Rd Ste B
Pleasanton, CA 94566-5667
Mailing address
1393 Santa Rita Rd Ste B
Pleasanton, CA 94566-5667
Phone (925) 734-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C358110 | Medicaid | CA |
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 |
|---|---|---|---|
| C35811 | CA | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1962504076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 SANTA RITA RD STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945665667",
"telephone_number": "925-734-0100",
"fax_number": "925-734-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 SANTA RITA RD STE B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945665667",
"telephone_number": "925-734-0100",
"fax_number": "925-734-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "FORREST",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "C35811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C358110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.