BRADY LEE SMITH
Student in an Organized Health Care Education/Training Program

Address: 155 5th St, San Francisco, CA 94103-2919

BRADY LEE SMITH (NPI# 1821683954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821683954
Entity Type Individual
Full Name BRADY LEE SMITH
Gender Male
Practice Address 155 5th St
San Francisco
CA 94103-2919
Practice Telephone 3035197470
Mailing Address 2336 Panoramic Dr
Concord
CA 94520-1319
Mailing Telephone 3035197470
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 155 5TH ST
City SAN FRANCISCO
State CA
Zip Code 94103-2919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629665393 Carlene Ann Mendieta Dentist · Periodontics 155 5th St, San Francisco, CA 94103-2919 2020-12-28
1326653775 Eliz Danielle Santos Dentist 155 5th St, San Francisco, CA 94103-2919 2020-09-12
1831711746 Mateel Musallam Audiologist-Hearing Aid Fitter 155 5th St, San Francisco, CA 94103-2919 2020-05-13
1598220790 Sandra Anne Mclaren Counselor · Mental Health 155 5th St, San Francisco, CA 94103 2019-02-01
1427527845 Jiong Hu Audiologist 155 5th St, San Francisco, CA 94103-2919 2018-11-14
1629579479 Se Rin Lee Student in an Organized Health Care Education/Training Program 155 5th St, San Francisco, CA 94103 2018-02-27
1154871200 Ronald Chung Dentist · Orthodontics and Dentofacial Orthopedics 155 5th St, San Francisco, CA 94103-2919 2016-10-12
1861940371 Tex Christopher Mabalon IIi Dentist 155 5th St, San Francisco, CA 94103-2919 2016-09-13
1316301898 William Tognotti Dentist · General Practice 155 5th St, San Francisco, CA 94103-2919 2016-04-11
1033570551 Warden Noble Dentist · Prosthodontics 155 5th St, San Francisco, CA 94103-2919 2016-03-10
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1467040006 Jaime Alberto Iniguez Social Worker 982 Mission Street, Flexible Housing Pool Team, San Francisco, CA 94103 2021-01-08
1649872920 Peggie Annmarie Decoteau Licensed Vocational Nurse Baker Places, 101 Cough St, San Francisco, CA 94103 2020-11-12
1669015665 Cheng Chi Chang Student in an Organized Health Care Education/Training Program 987 Mission Street, San Francisco, CA 94103 2019-10-22
1437622768 Amber Peirce Counselor · Addiction (Substance Use Disorder) 1735 Mission St, San Francisco, CA 94103 2019-01-09
1174092365 Stephanie Diaz Behavior Analyst 1663 Mission St Ste 400, San Francisco, CA 94103 2018-11-16
1841768249 Sonia Kumar Social Worker · Clinical 982 Mission St, San Francisco, CA 94103 2018-11-05
1366925604 Sharon Farrell Specialist · Research Data Abstracter/Coder Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 2018-09-12
1033692686 Kary Ann Mcelroy Community Health Worker 1235 Mission Street, San Francisco, CA 94103 2018-09-10
1548748759 Muvr Labs, Inc Clinic/Center · Physical Therapy 724 Bannan Street, San Francisco, CA 94103 2018-07-31
1336627520 Mary Katherine Wheeler Physician Assistant 1563 Mission St, San Francisco, CA 94103 2018-07-31
Find all providers in zip 94103

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932794591 Vanessa Canales 2130 Fulton St, San Francisco, CA 94117-1080 2021-03-05
1003400656 Thao Luong 160 Capp St, San Francisco, CA 94110-1210 2021-02-24
1407440043 Alex Kryger 101 Woodland Ave, San Francisco, CA 94117-3862 2021-02-24
1174117949 Anni Bui 2130 Fulton St, San Francisco, CA 94117-1080 2021-02-23
1598358814 Alice Wu 1630 Ocean Ave, San Francisco, CA 94112-1718 2021-02-17
1629661533 Do Hyung Kwon Jeong 4150 Clement St, San Francisco, CA 94121-1563 2021-02-11
1538751078 Kristen A Wolaver 1563 Mcallister St, San Francisco, CA 94115-4461 2021-02-05
1760073886 Joshua David Seeberger 4150 Clement St, San Francisco, CA 94121-1563 2021-02-01
1003407289 Brian Gac 760 Harrison St, San Francisco, CA 94107-1235 2021-01-29
1558951574 Matthew Joshua Sun 4150 Clement Street, Bldg 200- 1st Floor. Dental Service., San Francisco, CA 94121 2021-01-23
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Competitor

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City SAN FRANCISCO
Zip Code 94103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.