DR. JEDIDIAH T SMITH (NPI# 1376693424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376693424 |
| Entity Type | Individual |
| Full Name | DR. JEDIDIAH T SMITH |
| Credential | D.C. |
| Practice Address |
1732 Palma Dr Ste 104 Ventura CA 93003-5796 |
| Practice Telephone | 8056426565 |
| Mailing Telephone | 8056426565 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-30972 | CA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 425 | AK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CH7531 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471465 | Jedidiah Smith | Case Manager/Care Coordinator | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2019-01-29 |
| 1649603572 | Jedidiah David Smith | Optometrist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2013-08-14 |
| Street Address |
1732 PALMA DR STE 104 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263198 | Alexander Robert Smith | Acupuncturist | 1732 Palma Dr Ste 104, Ventura, CA 93003-5796 | 2020-10-23 |
| 1194374884 | Elixir Lifestyle Medicine | Acupuncturist | 1732 Palma Dr Ste 104, Ventura, CA 93003-5796 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859201 | Grayson Cole Pomeroy | Chiropractor | 4517 Market St Ste 1, Ventura, CA 93003-7841 | 2019-03-05 |
| 1730671066 | Darrin Mitchell Barry | Chiropractor | 2021 Sperry Ave Ste 7, Ventura, CA 93003-7446 | 2018-06-01 |
| 1861892218 | Levitz Chiropractic Corporation | Chiropractor | 4732 Telephone Rd Ste 1a, Ventura, CA 93003-5252 | 2014-09-03 |
| 1639412653 | Gregory Paley | Chiropractor | 1500 Palma Dr, 2nd Floor, Ventura, CA 93003-6451 | 2013-03-27 |
| 1477879542 | Matthew T Leonard | Chiropractor | 1453 E Main St, Ventura, CA 93001-3251 | 2010-04-14 |
| 1720319882 | Vitality Chiropractic | Chiropractor | 4080 Loma Vista Road, Suite H, Ventura, CA 93003 | 2010-01-28 |
| 1396978078 | Adam Mckillican Chiropractic Inc | Chiropractor | 1437 S Victoria Ave, F, Ventura, CA 93003-6549 | 2009-08-28 |
| 1285876888 | Kenneth Adam Mckillican | Chiropractor | 1437 S Victoria Ave Ste F, Ventura, CA 93003-6558 | 2009-03-27 |
| 1235386640 | Ronald Mccromick French | Chiropractor | 3242 Telegraph Rd, Ventura, CA 93003-3221 | 2008-08-27 |
| 1225234362 | Teresa Marie Dye | Chiropractor | 213 Millbrae Ct, Ventura, CA 93004-1621 | 2007-06-25 |
| Find all providers in VENTURA | ||||
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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.