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MR. MATTHEW H SMITH PA
NPI 1417023425
Physician Assistant - Surgical in Oakland, CA

Active since November 28, 2006PECOS Enrolled
275 W MACARTHUR, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew H Smith Pa NPPES

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

MR. MATTHEW H SMITH PA (NPI 1417023425) is an individual surgical provider in Oakland, California, licensed in California (16820) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417023425
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MATTHEW H SMITHCredential: PA
Location Address275 W MACARTHUROakland, CA 94611-5641
Mailing Address275 W MacarthurOakland, CA 94611-5641 · (510) 752-1000
Phone(510) 752-1000
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1417023425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 16820
275 W MACARTHUR, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew H Smith Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LUCAS C. VAN DYKE MD
Psychiatry & Neurology (Psychiatry)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
SUZANNE P WHITCOMB PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
JENNIFER I. HARRIS MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
MISS DENITZA V HRISTOVA PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNA WONG PSY
Psychologist (Clinical)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHEE C. CHOW MD
Internal Medicine (Rheumatology)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
MR. KEITH M. THIBAULT NP
Nurse Practitioner
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
DAVID B. POOR DDS
Dentist (Oral and Maxillofacial Surgery)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 Matthew Smith's NPI number?

The NPI number for Matthew Smith is 1417023425. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Matthew Smith located?

Matthew Smith practices at 275 W Macarthur, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Smith enrolled in Medicare?

Yes. Matthew Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Smith was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.