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Search › California › 390200000X

Justin Smith

NPI 1649199456 · on the registry since 2026 · sole proprietor

Practice

Address
2235 Mercury Way Ste 107
Santa Rosa, CA 95407
Phone
(707) 571-5581
Organisation at this address
Buckelew Programs
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2026-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California