Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477765931 Individual Practitioner Male Practitioner

Robert J Smith , PA

Physician Assistant • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Robert Smith, PA is a registered healthcare professional specializing in Physician Assistant in Santa Rosa, CA. Practice services are available at 1405 MONTGOMERY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1405 Montgomery Dr

Santa Rosa, CA 954054557

Telephone 7075461922
Fax 7075461897
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Santa Rosa, CA (14617 Statewide)

Telehealth Adoption Rate
20.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA20267

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PA20267 (CA)
Commercial Insurance / Payer ID Cigna Dme
0PA202670 (CA)
Commercial Insurance / Payer ID License Number
PA20267 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Carolyn Bartlett , OT, CHT

Occupational Therapist - Hand

NPI 1023176450

Occupational Therapist, Certified Hand Therapist

NPI 1043471279

Doctor of Medicine (M.D.)

Dr. Thomas Degenhardt , MD

Orthopaedic Surgery

NPI 1073556635

Doctor of Medicine (M.D.)

Dr. Mark Schakel , MD

Orthopaedic Surgery

NPI 1083657654

Doctor of Medicine (M.D.)

Dr. Dominic Mintalucci , MD

Orthopaedic Surgery - Hand Surgery

NPI 1114126869

Doctor of Medicine (M.D.)

Dr. Tom Sather , PhD, PT

Physical Therapist

NPI 1114983236

Doctor of Philosophy (Ph.D.), Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2008

Registered at 1405 MONTGOMERY DR, SANTA ROSA, CA 954054557 (Tel: 7075461922)

📍
Updated Business Mailing Address December 03, 2008

Registered at 1405 MONTGOMERY DR, SANTA ROSA, CA 954054557 (Tel: 7075461922)

👤
Provider Name / Credentials Updated December 03, 2008

Recorded as ROBERT SMITH, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2008

Physician Assistant (License #PA20267 in CA)

🟢
Initial NPI Registration & Enumeration May 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477765931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2007
Last Update: December 03, 2008
Sole Proprietor: No

Mailing Address

1405 Montgomery Dr

Santa Rosa, CA 954054557

Phone: 7075461922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.