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SMITH FAMILY MEDICINE
NPI 1184596207
Family Medicine in Roseville, CA

Active since September 18, 2025CLIA 05D2338023 · Waiver
951 RESERVE DR STE 100, ROSEVILLE, CA 95678(916) 800-0321 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2025, Sep 18, 2025 (2 updates tracked since 2025).

About Smith Family Medicine NPPES

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

SMITH FAMILY MEDICINE (NPI 1184596207) is a healthcare organization registered as a family medicine in Roseville, California and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Kyle Clark Smith, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1184596207
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSMITH FAMILY MEDICINE
Location Address951 RESERVE DR STE 100Roseville, CA 95678-1352
Mailing Address951 Reserve Dr Ste 100Roseville, CA 95678-1352 · (916) 800-0321 · Fax (916) 975-9989
Phone(916) 800-0321
Organization SubpartNo
Authorized OfficialKyle Clark SmithCeo/founder · (916) 800-0321
Enumeration DateSeptember 18, 2025
Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
✔ NPI 1184596207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
951 RESERVE DR STE 100, Roseville, CA 95678
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2338023

Smith Family Medicine · Roseville, CA
Active · expires Feb 2, 2028
CLIA Number05D2338023
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorKyle C. Smith
Laboratory Phone(916) 390-6045
Laboratory LocationSmith Family Medicine951 Reserve Dr #100, Roseville, CA 95678
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MATTHEW SNARR
Physician Assistant
951 RESERVE DR STE 100
ROSEVILLE, CA 95678
Placer County (916) 800-0321
DR. KYLE CLARK SMITH MD
Family Medicine
951 RESERVE DR STE 100
ROSEVILLE, CA 95678
Placer County (916) 800-0321

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 Smith Family Medicine's NPI number?

The NPI number for Smith Family Medicine is 1184596207. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Smith Family Medicine located?

Smith Family Medicine is located at 951 Reserve Dr Ste 100, Roseville, CA 95678. The listed phone number is (916) 800-0321.

What is Smith Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Smith Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2338023) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smith Family Medicine was last updated on November 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.