CLAYTON N SMITH JR. (NPI# 1649643412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649643412 |
| Entity Type | Individual |
| Full Name | CLAYTON N SMITH JR. |
| Credential | CRNA |
| Practice Address |
400 N Pepper Ave Colton CA 92324-1801 |
| Mailing Address |
244 S Dallas Ave San Bernardino CA 92410-1964 |
| Practice Telephone | 9095801000 |
| Mailing Telephone | 9037246295 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95035744 | CA | Nursing Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
95035744 | CA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 95000498 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CERTIFIED REGISTERED NURSE ANESTHETIST | 95000498 | 01 |
| CA | CALIFORNIA REGISTERED NURSING LICENSE | 95035744 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811474877 | Clayton Lynn Smith | Social Worker | 2463 E Gala St Ste 100, Meridian, ID 83642-5210 | 2018-07-23 |
| 1891088613 | Clayton Allen Smith Jr. | Internal Medicine | School of Medicine Building Ste 327, 100 Woodruff Circle, Atlanta, GA 30322-0001 | 2011-05-26 |
| 1992822100 | Clayton B. Smith IIi | Dentist | 1606 Doctors Cir, Wilmington, NC 28401-7406 | 2007-03-23 |
| 1043349533 | Clayton Smith | Counselor | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2007-03-02 |
| 1801851894 | Clayton A. Smith | Anesthesiology | 3641 Ensign Rd Ne, Suite 6b, Olympia, WA 98506-5046 | 2006-04-20 |
| 1700886058 | Clayton A Smith | Optometrist | 820 Professional Center Dr, Eastman, GA 31023-6734 | 2005-07-28 |
| 1720614829 | Clayton Austin Smith | Pharmacy | 873 W Carmel Dr, Carmel, IN 46032-5804 | 2020-03-20 |
| 1184184160 | Clayton Patrick Smith | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-03-25 |
| 1316404726 | Clayton Smith | Pharmacist | 324 W Patton St, Lafayette, GA 30728 | 2019-02-22 |
| 1083045322 | Clayton Smith | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2013-12-12 |
| Street Address |
400 N PEPPER AVE |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205199650 | Sunny J. Sircar | Nurse Anesthetist, Certified Registered | 1850 E Washington St Ste A, Colton, CA 92324-4621 | 2012-06-20 |
| 1366776205 | Johnny Bairos | Nurse Anesthetist, Certified Registered | 900 E Washington Street #155, Colton, CA 92324-4196 | 2009-09-24 |
| 1699747667 | Laurie A Hanna | Nurse Anesthetist, Certified Registered | 1900 E. Washinton St, C/o Inland Eye Institute, Colton, CA 92324-4614 | 2006-02-03 |
| 1154934297 | Carolyn G Kennis Crna Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1281 W C St, Colton, CA 92324-1916 | 2020-08-28 |
| 1801431036 | Oliver Bandonell | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1819 | 2019-11-12 |
| 1275198004 | Edgar Muradyan | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-05-07 |
| 1316416613 | Pablo Lema | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1801 | 2018-11-15 |
| 1063989382 | Elizabeth Karenina Manullang | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1819 | 2018-10-24 |
| 1912408386 | Ernanie Kho | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1801 | 2018-02-21 |
| 1326548496 | Sarah Midigaspe Fenton | Nurse Anesthetist, Certified Registered | 400 N Pepper Ave, Colton, CA 92324-1801 | 2018-02-15 |
| Find all providers in COLTON | ||||
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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.