SUSANA INES SMITH HARBUTT M.D. NPI 1588007678

NPI Information

NPI: 1588007678
Provider Name: SUSANA INES SMITH HARBUTT, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
20101 LAKE CHABOT RD FL 4
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 204-1844
Get Directions

Susana Ines Smith Harbutt, M.D. is an endocrinology and diabetes and metabolism internal medicine in Castro Valley, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Susana Ines Smith Harbutt, M.D. NPI is 1588007678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20101 LAKE CHABOT RD FL 4
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 204-1844
Fax: (510) 506-7729

The NPI 1588007678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A136741	CALIFORNIA	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	A136741	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A136741	OTHER	CALIFORNIA	STATE MEDICAL LICENSE
2	FH6125783	OTHER	CALIFORNIA	FEDERAL DEA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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