MR. PETER JORDAN SMITH (NPI# 1285849778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285849778 |
| Entity Type | Individual |
| Full Name | MR. PETER JORDAN SMITH |
| Credential | L.AC. |
| Practice Address |
826 Shattuck Ave Berkeley CA 94707-2020 |
| Mailing Address |
2425 Acton St Berkeley CA 94702-2109 |
| Practice Telephone | 5105249828 |
| Mailing Telephone | 5105487278 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 5328 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE ACUPUNCTURE LICENSE | 5328 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
| 1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
| 1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
| 1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
| 1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
| 1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
| 1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
| 1073736070 | Peter N Smith | Dentist | 503 E 770 N, Orem, UT 84097 | 2007-04-10 |
| Street Address |
826 SHATTUCK AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94707-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508072802 | Robert M Levine | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372680 | Mackenzie Rose Rubin | Acupuncturist | 2124 Blake St Apt 4, Berkeley, CA 94704-2770 | 2020-10-03 |
| 1558979179 | Michelle Hirsch | Acupuncturist | 1196 Keith Ave, Berkeley, CA 94708-1607 | 2020-07-20 |
| 1477101178 | Carmen Call | Acupuncturist | 1641 Carleton St, Berkeley, CA 94703-1814 | 2019-08-27 |
| 1205317013 | Pak's Natural Healing Center, Inc. | Acupuncturist | 3000 Colby St Ste 203a, Berkeley, CA 94705-2058 | 2018-08-29 |
| 1366934689 | Nathan Ng | Acupuncturist | 1700 Shattuck Ave Ste 2, Berkeley, CA 94709-3401 | 2018-06-01 |
| 1992228886 | Lloyd Edward Walton | Acupuncturist | 2372 Ellsworth St Ste E, Berkeley, CA 94704-1580 | 2017-07-21 |
| 1306387048 | Scott Blossom | Acupuncturist | 680 Spruce St, Berkeley, CA 94707-1730 | 2017-03-14 |
| 1720450265 | Elana Weisberg | Acupuncturist | 1646 Prince Street, Apt B, Berkeley, CA 94703-2462 | 2015-10-23 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1154717965 | Anh Nguyen | Acupuncturist | 2831 Seventh St, Berkeley, CA 94710-2702 | 2015-04-08 |
| Find all providers in BERKELEY | ||||
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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.