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General NPI Number Information
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NPI Number | 1144320979
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Entity Type | Individual
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Provider Name | VERNELL ANGENETTE SMITH MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 222 W 39TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4364
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Country | US
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Telephone | 650-573-2671
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST STE 400
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City | EMERYVILLE
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State | CA
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Zip | 94608-1872
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Country | US
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Telephone | 510-350-2600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A60820
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License Number State | CA
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