ROBERT SMITH (NPI# 1558779363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558779363 |
| Entity Type | Individual |
| Full Name | ROBERT SMITH |
| Practice Address |
4510 E Pacific Coast Hwy Ste 600 Long Beach CA 90804-6914 |
| Mailing Address |
4510 East Pacific Coast Hwy Suite #600 Long Beach CA 90804-6914 |
| Practice Telephone | 5623461119 |
| Practice Fax Number | 5629817604 |
| Mailing Telephone | 5623461119 |
| Mailing Fax Number | 5629817604 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104430552 | Robert Nathan Smith | Student in an Organized Health Care Education/Training Program | 50 Don Martin Rd, Perkinston, MS 39573-5919 | 2020-09-03 |
| 1467087767 | Robert Smith Iv | Non-emergency Medical Transport (VAN) | 1710 Santa Maria Pl, Orlando, FL 32806-1446 | 2020-03-06 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1841758653 | Robert B Smith Jr. | Counselor | 2830 228th Ave Se Ste C, Sammamish, WA 98075-9300 | 2019-03-11 |
| 1497234660 | Robert Lewis Smith | Nuclear Medicine | 11398 Morton Rd, Keithville, LA 71047-6529 | 2018-08-08 |
| 1760978282 | Robert R Smith | Psychologist | 159 Tall Oaks Dr Unit H, Weymouth, MA 02190-3552 | 2018-07-09 |
| 1992298392 | Robert Brandon Smith | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2018-06-11 |
| 1447740808 | Robert G. Smith | Music Therapist | 2175 Hopkins Ln, Easton, PA 18040-8047 | 2018-05-11 |
| 1477050516 | Robert Stanley Smith | Behavioral Analyst | 20 Deerfield Ln, Eastham, MA 02642-2250 | 2018-04-06 |
| Street Address |
4510 E PACIFIC COAST HWY STE 600 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205905817 | Anne Choe | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2006-11-07 |
| 1346855574 | Mayvera Doaran | Student in an Organized Health Care Education/Training Program | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2020-09-14 |
| 1306457247 | Duyen Phan Ky Pham | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2020-08-13 |
| 1053921288 | Sochetra Hong | Counselor | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2020-08-03 |
| 1477026631 | Chhorvin Chhun-loeurm | Counselor | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2019-01-09 |
| 1649621467 | Phal Tith | Counselor | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2016-06-22 |
| 1487024550 | Ziyi Yang | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2015-10-02 |
| 1710374954 | Emily Ottiniano | Psychiatry & Neurology | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2015-04-24 |
| 1831526268 | Hannah C Park | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2013-09-30 |
| 1861747982 | Layhearb Tep Poon | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2012-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811229 | Dwayne Tatnall | Student in an Organized Health Care Education/Training Program | 4110 Santa Fe Ave, Long Beach, CA 90810-1439 | 2020-08-11 |
| 1366067902 | Graciela Ignacio | Student in an Organized Health Care Education/Training Program | 1780 Aquarius St, Long Beach, CA 90810-3217 | 2020-06-09 |
| 1710506514 | Sabreen Onallah | Student in an Organized Health Care Education/Training Program | 5901 E 7th St Bldg 166, Long Beach, CA 90822-5201 | 2020-04-11 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1972131761 | James Tolentino | Student in an Organized Health Care Education/Training Program | 3218 Maine Ave, Long Beach, CA 90806-1236 | 2020-03-29 |
| 1720615560 | Andrew Cabrera | Student in an Organized Health Care Education/Training Program | 5901 E 7th St # 12160, Long Beach, CA 90822-5201 | 2020-03-23 |
| 1639717770 | Brucha Buff | Student in an Organized Health Care Education/Training Program | 70 W Beech St, Long Beach, NY 11561-3407 | 2019-12-19 |
| 1790333268 | Chandara Duongmeas | Student in an Organized Health Care Education/Training Program | 3565 Linden Ave Unit 220, Long Beach, CA 90807-4528 | 2019-08-28 |
| 1174179733 | Taureece James Wilson | Student in an Organized Health Care Education/Training Program | 135 E Eldridge St, Long Beach, CA 90807-5018 | 2019-08-09 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on ROBERT 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.