DANIEL ELDRIDGE SMITH (NPI# 1609212919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609212919 |
| Entity Type | Individual |
| Full Name | DANIEL ELDRIDGE SMITH |
| Credential | D.O. |
| Practice Address |
11175 Campus St # 21111 Loma Linda CA 92350 |
| Mailing Address |
11175 Campus St # 21111 Loma Linda CA 92350-1700 |
| Practice Telephone | 9095585939 |
| Mailing Telephone | 5096073184 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
16594 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 N East Ave, Jackson, MI 492011753 | 5096073184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146478 | Daniel J Smith | Counselor | 52 Park Ave, Park Ridge, NJ 07656-1277 | 2020-02-14 |
| 1790101616 | Daniel Smith | Nurse Practitioner | 11100 Se Petrovitsky Rd Apt C206, Renton, WA 98055-5645 | 2014-03-17 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1104259837 | Daniel Lloyd Smith | Counselor | 11648 Gravois Rd Ste 245, Saint Louis, MO 63126-3034 | 2013-08-16 |
| 1952655334 | Daniel Cass Smith | Community Health Worker | 4806 N Perkins Rd, Stillwater, OK 74075-1710 | 2012-11-06 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1124379094 | Daniel Jared Smith | Chiropractor | 1836 Roswell St Se Apt 1305, Smyrna, GA 30080-2244 | 2012-10-01 |
| 1134498330 | Daniel Timothy Smith | Student in an Organized Health Care Education/Training Program | 1500 S 48th St Ste 506, Lincoln, NE 68506-1279 | 2011-12-19 |
| 1033411228 | Daniel Earl Smith | Student in an Organized Health Care Education/Training Program | 2547 Ne 47th Ave, Portland, OR 97213-1917 | 2010-11-22 |
| 1689993735 | Daniel J Smith | Counselor | 690 Fries Rd, Tonawanda, NY 14150-7414 | 2010-05-27 |
| Street Address |
11175 CAMPUS ST # 21111 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083008940 | Kelly Andrew Lara | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350-1801 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| 1699945485 | Hyma P Gogineni | Pharmacist | 11262 Campus Street, West Hall, Loma Linda, CA 92350 | 2008-03-07 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
| 1710901590 | Leslie Ann Giesemann | Surgery | 317 N El Camino Real Ste 502, Encinitas, CA 92024-2816 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on DANIEL ELDRIDGE 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.