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MS. ROBERTA JEAN SMITH C.PED
NPI 1487184123
Pedorthist in Pismo Beach, CA

Active since June 15, 2017
801 DOLLIVER ST, PISMO BEACH, CA 93449(805) 773-5571(805) 773-1270 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Ms. Roberta Jean Smith C.ped NPPES

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

MS. ROBERTA JEAN SMITH C.PED (NPI 1487184123) is an individual pedorthist provider in Pismo Beach, California, licensed in California (CPED3993) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1487184123
Entity TypeIndividualFemale
Primary Taxonomy224L00000X
Provider Legal NameMS. ROBERTA JEAN SMITHCredential: C.PED
Location Address801 DOLLIVER STPismo Beach, CA 93449-2503
Mailing Address801 DolliverPismo Beach, CA 93449 · (805) 773-5571 · Fax (805) 773-1270
Phone(805) 773-5571
Fax(805) 773-1270
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1487184123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License✔ Licensed in CA · CPED3993
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
801 DOLLIVER ST, Pismo Beach, CA 93449
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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.

DOLLIVER TREE, INC.
Prosthetic/Orthotic Supplier
801 DOLLIVER ST
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-5571
THE SHOE TREE, INC
Prosthetic/Orthotic Supplier
801 DOLLIVER ST
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-5571

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 Roberta Smith's NPI number?

The NPI number for Roberta Smith is 1487184123. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Roberta Smith located?

Roberta Smith practices at 801 Dolliver St, Pismo Beach, CA 93449. The listed phone number is (805) 773-5571.

What is Roberta Smith's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Roberta Smith was last updated on July 21, 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.