MR. PAUL ROBERT SMITH REGISTERED NURSE NPI 1639675606

NPI Information

  • NPI: 1639675606
  • Provider Name: MR. PAUL ROBERT SMITH, REGISTERED NURSE
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 357 PISMO ST APT F
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 801-2512

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NPI Details

MR. Paul Robert Smith, REGISTERED NURSE is a case management registered nurse in San Luis Obispo, CA. MR. Paul Robert Smith, REGISTERED NURSE NPI is 1639675606. 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:

357 PISMO ST APT F
SAN LUIS OBISPO, CA
ZIP 93401-141
Phone: (805) 801-2512
Fax: (805) 549-9444

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.

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
1163WC0400XRegistered NurseCase Management440363CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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