Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Smith, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780996371

Dr. Mark Smith, MD is a Family Practice in Arroyo Grande, California. Qualified in 2008, 18 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1057 E Grand Ave
Arroyo Grande, CA 93420-2504
Phone: (805) 270-1700
Fax: (805) 481-7097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 133975 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780996371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESAugust 7, 2015
Mailing address2050s Blosser Rd, Santa Maria, CA 93458-7310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Arroyo Grande