Doctor profile · Federal record
Dr. Jean Smith, MD
Pediatrics Physician · Santa Rosa, CA
- NPI 1154495455
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
401 Bicentennial Way
Santa Rosa, CA 954032149
(707) 571-4000 - Mailing address
-
1800 Harrison St Fl 7
Oakland, CA 946123429
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- November 10, 2021
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- California #G26460
- Medicaid
- CA #00G264600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154495455. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $22.69 |
By nature of payment
Frequently asked questions
What is Dr. Jean Smith's medical specialty?
Dr. Jean Smith practices Pediatrics Physician in Santa Rosa, CA.
Where does Dr. Jean Smith practice?
Dr. Jean Smith practices at 401 Bicentennial Way, Santa Rosa, CA 954032149. Office phone: 7075714000.
What is Dr. Jean Smith's NPI?
Dr. Jean Smith's National Provider Identifier (NPI) is 1154495455, issued by NPPES.