STEELE CLARKE SMITH MD NPI 1912000365

NPI Information

NPI: 1912000365
Provider Name: STEELE CLARKE SMITH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3055 W ORANGE AVE
SUITE 205
ANAHEIM, CA
ZIP 92804
Phone: (714) 527-7707
Get Directions

Steele Clarke Smith, MD is a family medicine in Anaheim, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Steele Clarke Smith, MD NPI is 1912000365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3055 W ORANGE AVE
SUITE 205
ANAHEIM, CA
ZIP 92804-154
Phone: (714) 527-7707
Fax: (714) 527-8709

The NPI 1912000365 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 9/7/2006 and was last updated on 6/22/2010.

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	207Q00000X	Family Medicine		C24221	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	A88805	MEDICARE UPIN
2	AS4891176	OTHER	CALIFORNIA	DEA
3	W22191	OTHER	CALIFORNIA	MEDICARE GROUP PTAN
4	C24221	OTHER	CALIFORNIA	STATE LICENSE #
5	05D0582567	OTHER	CALIFORNIA	CLIA
6	WC24221C	OTHER	CALIFORNIA	MEDICARE INDIVIDUAL PTAN

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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