1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Physician Assistant
  6. NPI Profile

CAROLYN ANN SMITH P.A.
NPI 1114128956
Physician Assistant - Medical in San Luis Obispo, CA

Active since May 30, 2007
1551 BISHOP ST, 220, SAN LUIS OBISPO, CA 93401(805) 541-0668(805) 541-8213 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Ann Smith P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ANN SMITH P.A. (NPI 1114128956) is an individual medical provider in San Luis Obispo, California, licensed in California (PA14769) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1114128956
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAROLYN ANN SMITHCredential: P.A.
Location Address1551 BISHOP ST, 220San Luis Obispo, CA 93401-4635
Mailing Address101 E Redlands Blvd, 212Redlands, CA 92373-4775 · (909) 335-8649 · Fax (909) 335-1994
Phone(805) 541-0668
Fax(805) 541-8213
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateSeptember 9, 2010
✔ NPI 1114128956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14769
1551 BISHOP ST, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Identifiers 2

Medicare PINWPA14769BCA
Medicare PINBN576ZCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0402
MS. MARY B GARRETT NP
Nurse Practitioner (Psychiatric/Mental Health)
1551 BISHOP ST, SUITE A-150
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-6000
DR. BRANDON JAMES SLADE DPM
Podiatrist (Foot & Ankle Surgery)
1551 BISHOP ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-7788
JOHN BARRY SIEBENLIST M.D.
Dermatology (Procedural Dermatology)
1551 BISHOP ST, SUITE 220
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-0668
ELENA G ASELTINE
Registered Nurse (Women's Health Care, Ambulatory)
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0402
RODOLFO CASTILLO-RUIZ MD
Family Medicine
1551 BISHOP ST, 160
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 269-1500
CHARLES B. FISHMAN M.D.
Dermatology
1551 BISHOP ST, SUITE 410
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-4180
BARRY EIBSCHUTZ, M.D. INC
Internal Medicine (Rheumatology)
1551 BISHOP ST, SUITE 230
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-0702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Smith's NPI number?

The NPI number for Carolyn Smith is 1114128956. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Carolyn Smith located?

Carolyn Smith practices at 1551 Bishop St 220, San Luis Obispo, CA 93401. The listed phone number is (805) 541-0668.

What is Carolyn Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Carolyn Smith was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.