Organization
JOHN P SMITH MD A PROFESSIONAL CORPORATION
Active
Other names
National Avenue Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PHILIP SMITH III MD (PRESIDENT)
(408) 406-1895
Entity
Organization
Contact information
Practice address
14911 NATIONAL AVE, STE 1, LOS GATOS, CA 95032-2632
(408) 358-3448
(408) 356-4628
Mailing address
1530 MONTEVAL PL, SAN JOSE, CA 95120-5714
(408) 406-1895
(408) 268-7814
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8105
RAILROAD MEDICARE
CA
05
—
GR0082830
—
CA
Enumeration date
10/14/2005
Last updated
08/05/2019
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