MR. JEFFERY SMITH (NPI# 1497197669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497197669 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY SMITH |
| Practice Address |
4991 E Mckinley Ave Ste 112 Fresno CA 93727-1966 |
| Practice Telephone | 5599812143 |
| Mailing Telephone | 5599812143 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1962637512 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 1962637512 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1851659908 | Jeffery Kenneth Smith | Physical Therapist | 8002 Waldorf Ct, Orlando, FL 32817-1586 | 2012-04-26 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1982730339 | Jeffery Owen Smith | Pharmacist | 3020 E Main St, Lot V-120, Mesa, AZ 85213-9488 | 2007-02-27 |
| 1215957105 | Jeffery William Smith | Dentist | 630 Woods Creek Dr, Sonora, CA 95370-4817 | 2006-07-20 |
| 1861961153 | Jeffery Michael Smith | Physician Assistant | 441 S Redwood Rd, Slc, UT 84104-3539 | 2018-11-16 |
| 1063913648 | Jeffery David Smith | Occupational Therapist | 1255 W Silverbell Rd, Lake Orion, MI 48359-1345 | 2018-02-28 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1902101207 | Jeffery Dee Smith | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2011-01-18 |
| 1740497742 | Jeffery Craig Smith | Counselor | 11-21 Broadway, Gloversville, NY 12078 | 2007-05-17 |
| Street Address |
4991 E MCKINLEY AVE STE 112 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836676 | Orlando Gillam II | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-08-29 |
| 1215360862 | Deatra Brewer | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-08-19 |
| 1730512575 | Valarie Hubbard | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-08-15 |
| 1477986214 | Gilbert Hollins | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-08-15 |
| 1962834572 | Denisha Houston | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-08-06 |
| 1659703858 | Karina Maravilla | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MR. JEFFERY SMITH.
| 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.