DR. THOMAS D SMITH (NPI# 1275817322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275817322 |
| Entity Type | Individual |
| Full Name | DR. THOMAS D SMITH |
| Credential | PHD |
| Practice Address |
13193 Central Ave 200 Chino CA 91710-4179 |
| Practice Telephone | 9099029111 |
| Practice Fax Number | 9099029199 |
| Mailing Telephone | 9099029111 |
| Mailing Fax Number | 9099029199 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22044 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAQH PENDING | PENDING | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| Street Address |
13193 CENTRAL AVE 200 |
| City | CHINO |
| State | CA |
| Zip Code | 91710-4179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633867 | James M Lally | Family Medicine | 13193 Central Ave, Ste. 100, Chino, CA 91710-4179 | 2005-07-18 |
| 1730794694 | Adriane Denise Burns | Nurse Practitioner | 13193 Central Ave, Chino, CA 91710-4179 | 2020-09-08 |
| 1043834658 | Hye Kyung Jeon Chase | Registered Nurse | 13193 Central Ave, Chino, CA 91710-4179 | 2020-05-31 |
| 1801307368 | Health Service Alliance | Psychologist | 13193 Central Ave, Chino, CA 91710-4179 | 2017-10-23 |
| 1316353865 | Jason Mathews | Family Medicine | 13193 Central Ave, Chino, CA 91710-4179 | 2014-07-05 |
| 1609296433 | Daniel Park | Family Medicine | 13193 Central Ave, Chino, CA 91710-4179 | 2014-04-20 |
| 1205262466 | Sana Khan | Family Medicine | 13193 Central Ave, Ste 100, Chino, CA 91710-4179 | 2013-09-19 |
| 1134569775 | Janna Kay Brennan-lynch | Registered Nurse | 13193 Central Ave, Suite 220, Chino, CA 91710-4179 | 2013-06-27 |
| 1073869392 | Marcelino Dellopac Latina | Pediatrics | 13193 Central Ave, Suite 100, Chino, CA 91710-4179 | 2012-07-24 |
| 1821373978 | Chino Valley Orthopedic Center Inc | Orthopaedic Surgery | 13193 Central Ave, Suite 100, Chino, CA 91710-4179 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811334204 | John Edward Nigbor | Psychologist | 7009 Edinboro St, Chino, CA 91710-6943 | 2013-05-27 |
| 1164750956 | Linda Yi Chow | Psychologist | 12555 Central Ave Ste C, Chino, CA 91710-3569 | 2009-12-07 |
| 1366921900 | Dustin Arnold | Psychologist | 13193 Central Ave Ste 200, Chino, CA 91710-4179 | 2018-08-13 |
| 1548747108 | Jeshana E. Avent-johnson | Psychologist | 13193 Central Ave Ste 200, Chino, CA 91710-4179 | 2018-07-25 |
| 1861891038 | Victor Jordan | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2014-08-13 |
| 1043563216 | David Chuquimia | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2012-10-24 |
| 1649541665 | Peter None Wilhovsky Jr. | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2012-01-23 |
| 1992027833 | Ji Hong Kim | Psychologist | 15180 Euclid Ave, Chino, CA 91710-9148 | 2010-02-19 |
| 1508198920 | Heidi Marie Vetter | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2010-02-10 |
| 1417289844 | Inga M Talbert | Psychologist | 15180 Euclid Ave, Chino, CA 91710-9148 | 2010-02-10 |
| Find all providers in CHINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.