Healthcare Provider Details

I. General information

NPI: 1831519651
Provider Name (Legal Business Name): ALEXANDER SABLE-SMITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2014
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EL CAMINO REAL
PALO ALTO CA
94301-2303
US

IV. Provider business mailing address

2370 MARKET ST STE 103-186
SAN FRANCISCO CA
94114-1696
US

V. Phone/Fax

Practice location:
  • Phone: 650-223-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA150206
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA150206
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberA150206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: