MARY EVELYN SMITH (NPI# 1629451380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629451380 |
| Entity Type | Individual |
| Full Name | MARY EVELYN SMITH |
| Credential | PA-C |
| Practice Address |
2080 San Pasqual St Pasadena CA 91107-5157 |
| Practice Telephone | 6268401120 |
| Mailing Telephone | 6268401120 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2080 SAN PASQUAL ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-5157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593397 | Elyssa Summer Mccormack | Physician Assistant | 275 N Oakland Ave Apt 2, Pasadena, CA 91101-1647 | 2020-09-19 |
| 1356951941 | Emily Lynn Yang | Physician Assistant | 3219 Fairpoint St, Pasadena, CA 91107-1202 | 2020-08-07 |
| 1326675414 | Melissa Real | Physician Assistant | 845 Wright Ave, Pasadena, CA 91104-4466 | 2020-03-26 |
| 1164064762 | Nikita Phiroz Engineer | Physician Assistant | 4102 Woodlawn Ave Ste 210, Pasadena, TX 77504-1949 | 2019-10-15 |
| 1275189979 | Robert Hennington | Physician Assistant | 111 Red Bluff Rd, Pasadena, TX 77506-1530 | 2019-08-18 |
| 1306329586 | Sofia Fiona Knoppel-calas | Physician Assistant | 215 N Allen Ave, Pasadena, CA 91106-1601 | 2018-09-13 |
| 1598136517 | Cara Kylie Jugant | Physician Assistant | 3450 Fairpoint St, Pasadena, CA 91107-1207 | 2015-10-16 |
| 1962870451 | Christopher Fong | Physician Assistant | 455 W Montana St, Pasadena, CA 91103-1327 | 2015-09-14 |
| 1861899445 | Ryan Whitworth | Physician Assistant | 140 N Lake Ave, Pasadena, CA 91101-1836 | 2014-11-26 |
| 1124437439 | Monica Marshall | Physician Assistant | 908 Southmore Ave Ste 200, Pasadena, TX 77502-1125 | 2014-08-12 |
| Find all providers in PASADENA | ||||
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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.