Erik Kristopher Smith is a Physician Assistant practicing in Lakeport, California. The National Provider Identifier (NPI) is #1396033395, which was assigned on July 12, 2011, and the registration record was last updated on August 1, 2025. The practitioner's main practice location is at 925 Bevins Ct, Lakeport, CA 95453-9754; the contact telephone number is 7072638382. The primary taxonomy of Erik Kristopher Smith is Physician Assistant (363A00000X). Erik Kristopher Smith is licensed to practice in the state of California (#PA21692).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1396033395 |
| Entity Type | Individual |
| Provider Name | MR. ERIK KRISTOPHER SMITH |
| Other Name |
ERIK K SMITH (Professional Name) |
| Gender | Male |
| Credential | PA-C |
| Other Credential | PA-C |
| Practice Address |
925 Bevins Ct Lakeport CA 95453-9754 |
| Practice Telephone | 7072638382 |
| Mailing Address |
729 Sunrise Ave Ste 602 Roseville CA 95661-4542 |
| Mailing Telephone | 9169537571 |
| Mailing Fax Number | 9167718515 |
| Certification Date | 2025-08-01 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2025-08-01 |
| Is Sole Proprietor | N |
| PAC ID |
0749403061 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ERIK KRISTOPHER SMITH |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC |
| Address |
925 Bevins Ct Lakeport CA 95453-9754 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21692 | CA |
| Address | Telephone | Fax |
|---|---|---|
| 14678 Lakeshore Dr, Clearlake, CA 954229290 | 7072638382 | |
| 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 9163341100 | 9163341105 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nesreen Dawoud Ahmad | 1972 Clark Ave, Alliance, OH 44601-3993 | Physician Assistant | 2026-06-06 |
| Anna Sophia Drossos | 1972 Clark Ave, Alliance, OH 44601-3993 | Physician Assistant | 2026-06-06 |
| Makeda Alexander | 445 Lenox Rd, Brooklyn, NY 11203-2017 | Physician Assistant | 2026-06-06 |
| Shannon Wyngard | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Nicole Marie Moore | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Isabella Renee Pecoraro | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | Physician Assistant | 2026-06-06 |
| Hassan Mohamed Abdalla | 425 New Scotland Ave Fl 2, Albany, NY 12208-2726 | Physician Assistant | 2026-06-06 |
| Abigail Boulos | 1128 Stonecrest Dr, Tarentum, PA 15084-2640 | Physician Assistant | 2026-06-06 |
| Santiago Hernandez Cruz | 1412 Mockingbird Ln Apt M305, Midland, TX 79705-2073 | Physician Assistant | 2026-06-05 |
| Butte Independent Walk-In Clinic PLLC | 3310 Monroe Ave, Butte, MT 59701-3820 | Physician Assistant | 2026-06-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
925 BEVINS CT |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-9754 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Chalice Ann Addis | 925 Bevins Ct, Lakeport, CA 95453-9754 | Family Nurse Practitioner | 2017-11-15 |
| Anthony Joseph Mitchell | 925 Bevins Ct, Lakeport, CA 95453-9754 | Physical Therapy Assistant | 2022-08-17 |
| Jacqueline Kelly | 925 Bevins Ct, Lakeport, CA 95453-9754 | Family Nurse Practitioner | 2026-03-24 |
| Dorian Vincent De Paule | 925 Bevins Ct, Lakeport, CA 95453-9754 | Physical Therapy Assistant | 2025-07-24 |
| Nicole R Martinez · Nicole R Lawson | 925 Bevins Ct, Lakeport, CA 95453-9754 | Continuing Education/Staff Development Registered Nurse | 2025-03-11 |
| Patricia Hubbard | 925 Bevins Ct, Lakeport, CA 95453-9754 | Counselor | 2015-10-12 |
| Dawn Pavli | 925 Bevins Ct, Lakeport, CA 95453-9754 | Registered Dietitian | 2020-06-17 |
| Marlin Noelia Duran | 925 Bevins Ct, Lakeport, CA 95453-9754 | Dentist | 2020-07-28 |
| Veronica Alicia Gonzalez | 925 Bevins Ct, Lakeport, CA 95453-9754 | Dental Hygienist | 2026-02-24 |
| Jennifer Sue Nauert | 925 Bevins Ct, Lakeport, CA 95453-9754 | Clinical Social Worker | 2018-03-16 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Charles Thomas Cramton | 922 Bevins Ct, Lakeport, CA 95453-9754 | Licensed Vocational Nurse | 2015-07-29 |
| Fernna M Butcher | 922 Bevins Ct, Lakeport, CA 95453-9754 | Counselor | 2007-02-02 |
| Elaine Fontana | 922 Bevins Ct, Lakeport, CA 95453-9754 | Registered Nurse | 2008-02-01 |
| Lorena A Watson | 925 Bevins Court, Lakeport, CA 95453-9754 | Family Nurse Practitioner | 2012-08-27 |
| Lake County Health Services Department | 922 Bevins Ct, Lakeport, CA 95453-9754 | Public Health or Welfare Agency | 2006-07-09 |
| Eliezer Melendez | 925 Bevins Court, Lakeport, CA 95453-9754 | Pediatrics Physician | 2006-03-21 |
| Carol Morgan | 922 Bevins Ct, Lakeport, CA 95453-9754 | Registered Nurse | 2014-10-28 |
| Anju Goel | 922 Bevins Ct, Lakeport, CA 95453-9754 | Internal Medicine Physician | 2010-01-20 |
| Michael Keith Mietz | 925 Bevins Court, Lakeport, CA 95453-9754 | Medical Physician Assistant | 2012-01-05 |
| Emillie Rose Feenan | 922 Bevins Ct, Lakeport, CA 95453-9754 | Case Management Registered Nurse | 2015-08-03 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mark Ryan Go Yap | 1071 11th St, Lakeport, CA 95453 | Pharmacist | 2011-12-01 |
| Easter Seals Bay Area | 1950 Parallel Drive, Lakeport, CA 95453 | Early Intervention Provider Agency | 2018-11-03 |
| Lake County Office of Education | 1152 South Main Street, Lakeport, CA 95453 | Local Education Agency (LEA) | 2007-04-26 |
| Jennifer Stolworthy Smith | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | Case Manager/Care Coordinator | 2010-05-20 |
| Don C Johnson | 1053 11st, Lake Port, CA 95453 | Dentist | 2006-12-05 |
| Alonzo Eison Iv | 14715 East Hwy 20, Clearlake Oaks, CA 95453 | Addiction (Substance Use Disorder) Counselor | 2024-07-18 |
| Robert William Krause | 755 Eleventh St, Lakeport, CA 95453 | Family Medicine Physician | 2007-11-07 |
| Mark Stephen Loebs | 380 N Main St #A, Lakeport, CA 95453 | Marriage & Family Therapist | 2007-01-17 |
| Lake County Tribal Health Consortium, Inc. | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | Federally Qualified Health Center (FQHC) | 2015-08-18 |
| Hospice Service of Lake County | 1862 Parallel Dr, Lakeport, CA 95453 | Community Based Hospice Care Agency | 2005-07-01 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Erik Ehli | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | Registered Nurse | 2026-05-14 |
| Erik Smith | 2450 Martin Rd Ste 100, Fairfield, CA 94534-1018 | Behavior Technician | 2026-06-01 |
| Erik Jensen | 6880 46th Ave N Ste 110, Saint Petersburg, FL 33709-4751 | Behavior Technician | 2026-03-16 |
| Erik Westegaard | 414 Plaza Dr Ste 301, Westmont, IL 60559-5508 | Professional Counselor | 2026-05-06 |
| Erik M Lamb Jr. | 171 Taylor St, Harpers Ferry, WV 25425-3641 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| Erik Le Nguyen | 2027 Otis Dr Apt A, Alameda, CA 94501-5656 | Behavior Technician | 2026-04-01 |
| Jan Erik Paris | 1823 Shaw Ave Ste 101, Clovis, CA 93611-4064 | Physical Therapist | 2026-03-20 |
| Erik Gaitan | 2817 Rock Merritt Ave, Womack Army Medical Center, Apo, AA 28310 | Military Health Care Provider | 2026-05-18 |
| Erik Cid | 2730 S Moody Ave, Portland, OR 97201-5042 | Student in an Organized Health Care Education/Training Program | 2026-05-13 |
| Erik Hanson | 51 Marie Ave, Bridgewater, NJ 08807-3153 | Social Worker | 2026-05-19 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |