DAMIEN L SMITH


Address: 2911 Chanticleer Ave, Santa Cruz, CA 95065
Phone: 8314772350

DAMIEN L SMITH (NPI# 1063603108) 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) 1063603108
Entity Type Individual
Full Name DAMIEN L SMITH
Credential MD
Practice Address 2911 Chanticleer Ave
Santa Cruz
CA 95065
Mailing Address 2350 W El Camino Real Fl 2
Mountain View
CA 94040-6203
Practice Telephone 8314772350
Mailing Telephone 8314772350
Enumeration Date 2007-08-05
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology A112593 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1091430 05
CA MEDICARE DV559V 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1667 Dominican Way, Ste 234, Santa Cruz, CA 95065 8314622825 8314648603

Other Providers DAMIEN SMITH

NPI Name Taxonomy Address Enumeration
1538629092 Damien Joseph Smith Student in an Organized Health Care Education/Training Program 100 Irving St Nw Dept Of, Washington, DC 20010-3017 2019-03-21

Office Location

Street Address 2911 CHANTICLEER AVE
City SANTA CRUZ
State CA
Zip Code 95065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447230511 Noel Fishman Thoracic Surgery (Cardiothoracic Vascular Surgery) 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-01-17
1427425172 Stephanie Agoncillo Physician Assistant 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2015-08-28
1942620067 Christopher Desimone Surgery 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2014-04-17
1518304013 Kayla Cushner Advanced Practice Midwife 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2013-05-24
1730321993 Kaly Chang-chien Kao Physical Medicine & Rehabilitation 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2009-04-01
1982808234 Patrick James Tomafsky Physician Assistant 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2007-06-12
1124199344 Joseph Franks Urology 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-11-10
1497843098 Donald E Schepps Surgery 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-10-10
1558318758 Rami Dakkuri Specialist 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-05-31
1467422071 Camille Washowich Nurse Practitioner 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295335743 Mindful Living Psychotherapy Clinic/Center 24340 Ca-78, Ramona, CA 95065 2020-10-26
1265084297 Care From The Heart In Home Services, Inc. In Home Supportive Care 3141 Paul Sweet Road, Santa Cruz, CA 95065 2019-07-10
1215410188 Barry Lynn Keeler Pharmacist Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 2018-09-07
1407212582 Naikan Counseling Center Community/Behavioral Health 3319b Mission Drive, Santa Cruz, CA 95065 2016-01-05
1124461587 Lindsay Mooney Obstetrics & Gynecology 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 2013-04-16
1689911398 Gabriela Alejandra Torres De Fernandez Dentist 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 2013-01-15
1184999211 Shannon Leigh Purpuri Midwife 401 Happy Valley Rd, Santa Cruz, CA 95065 2012-03-22
1619119997 Himabindu Pitta Hospitalist 1555 Soquel Dr., Santa Cruz, CA 95065 2009-04-01
1780834614 Rym C Partridge Dentist 3337 Mission Dr., Santa Cruz, CA 95065 2008-09-29
1710177159 Jill Bewley Acupuncturist 100 Burton Dr, Santa Cruz, CA 95065 2007-08-01
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134213754 Mark Andrew Rosen Urology 2911 Chanticleer Ave., Suite 110, Santa Cruz, CA 95065-1815 2006-10-03
1437562964 Caitlin Frances Lim Urology 1667 Dominican Way Ste 234, Santa Cruz, CA 95065-1560 2014-06-02
1124392113 Daniel James Greene Urology 1667 Dominican Way Ste 234, Santa Cruz, CA 95065-1560 2012-03-08
1073780011 Monterey Bay Urology Associates Urology 1575 Soquel Dr, Santa Cruz, CA 95065-1700 2008-05-09
1124199344 Joseph Franks Urology 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-11-10
1407926074 Carlos Guerino Arcangeli Urology 2911 Chanticleer Ave., 110, Santa Cruz, CA 95065-1815 2006-11-09
1982774568 Carlos Arcangeli Md A Professional Corporation Urology 1595 Soquel Dr, 110, Santa Cruz, CA 95065-1719 2006-11-09
1437129350 Steven Roberts Urology 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-01-24
1326028853 Elizabeth Newsom Urology 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 2006-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033096 Urology Surgical Partners Urology 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 2020-11-06
1891301487 Fadl Hamouche Urology 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 2020-09-18
1083233902 Elite Medical Group PC Urology 2083 Compton Ave Ste 202, Corona, CA 92881-3416 2020-04-10
1659919660 Thrive Medical, Inc. Urology 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 2019-12-20
1457997645 David G Song Md Inc Urology 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 2019-11-21
1699316273 Golden Gate Urology Inc Urology 929 Clay St Ste 505, San Francisco, CA 94108-1500 2019-10-04
1598318461 Khoddami Medical Group Inc Urology 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 2019-07-19
1942760293 Adventist Health Physicians Network Urology 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 2019-03-22
1699233361 Orange Coast Medical, A Medical Corporation Urology 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 2019-03-12
1891268389 John Joseph Granato Jr. Urology 333 Cumberland Rd, Glendale, CA 91202-1256 2019-01-07
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Competitor

Search similar providers

City SANTA CRUZ
Zip Code 95065

Improve Information

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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.

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