Healthcare Provider Details

I. General information

NPI: 1720008436
Provider Name (Legal Business Name): CHERYL JEFFRIES SMITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MISSION ST STE 800
SAN FRANCISCO CA
94105-1744
US

IV. Provider business mailing address

101 MISSION ST STE 800
SAN FRANCISCO CA
94105-1744
US

V. Phone/Fax

Practice location:
  • Phone: 800-221-5140
  • Fax:
Mailing address:
  • Phone: 800-221-5140
  • Fax: 415-231-5332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC183937
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11702000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME115074
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD213629
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33594
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME115074
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: