Nellis Smith (NPI# 1386678951, PAC ID# 1759308067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1386678951 |
| PAC ID by PECOS | 1759308067 |
| Professional Enrollment ID | I20051026000711 |
| Full Name | Nellis Smith |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
23845 Holman Hwy Suite 220 Monterey CA 93940-5901 |
| Phone Number | 8316440225 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1980 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050197 | SEQUOIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1950 University Ave, Suite 160, East Palo Alto, CA 94303-2285 | 6503178100 | SUTTER BAY MEDICAL FOUNDATION |
| 370 Distel Cir, Los Altos, CA 94022-1404 | 6502545200 | SUTTER BAY MEDICAL FOUNDATION |
| 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 | 8316440225 | SUTTER BAY MEDICAL FOUNDATION |
| 795 El Camino Real, Palo Alto, CA 94301-2302 | 4156001020 | SUTTER BAY MEDICAL FOUNDATION |
| 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 6503695811 | SUTTER BAY MEDICAL FOUNDATION |
| 2900 Whipple Ave, Redwood City, CA 94062-2851 | SUTTER BAY MEDICAL FOUNDATION | |
| 2950 Whipple Ave, Redwood City, CA 94062-2850 | 6503664633 | SUTTER BAY MEDICAL FOUNDATION |
| 301 Industrial Rd, San Carlos, CA 94070-2603 | SUTTER BAY MEDICAL FOUNDATION | |
| 2581 Samaritan Dr, San Jose, CA 95124-4112 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
23845 HOLMAN HWY SUITE 220 |
| City | MONTEREY |
| State | CA |
| Zip | 93940-5901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Michas-martin | Neurology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Conrad Massimo Vial | Cardiac Surgery | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Andrea A Chan | Urology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Amir Ali Rahnavard | Physical Medicine and Rehabilitation | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Bruce Benedick | Interventional Cardiology | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Kalen Tai Erickson-moreo | Psychologist, Clinical | Montage Medical Group | 23845 Holman Hwy, Suite 210, Monterey, CA 93940-5907 |
| Nina Amelio-simulcik | Obstetrics/gynecology | Montage Medical Group | 23845 Holman Hwy, Suite 227, Monterey, CA 93940-5901 |
| Michael C Jacobson | Urology | Montage Medical Group | 23845 Holman Hwy, Suite 203, Monterey, CA 93940-5901 |
| Robert H Mead | Cardiac Electrophysiology | Sutter Bay Medical Foundation | 23845 Holman Hwy, Suite 220, Monterey, CA 93940-5901 |
| Dana L Mcdermott | Neurology | Montage Medical Group | 23845 Holman Hwy, Suite 210, Monterey, CA 93940-5907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir Leibovsky | Obstetrics/gynecology | 337 Eldorado St, Suite B4, Monterey, CA 93940 | |
| Lee M Hamilton | Family Practice | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Hami Ebrahimi | Internal Medicine | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Christopher L Tinker | Physical Therapy | 786 Lighthouse Ave, Monterey, CA 93940-1010 | |
| Craig D Schmitz | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Kimberly M Micheletti | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Shelley A Kroopf | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Travis D Jurgens | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Timothy K Wilken | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| James D Wells | Hospitalist | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Find all physicians in zip 93940 | |||
| City | MONTEREY |
| Zip Code | 93940 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MONTEREY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Nellis Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.