DR. PRUDENCE A SMITH (NPI# 1780748590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780748590 |
| Entity Type | Individual |
| Full Name | DR. PRUDENCE A SMITH |
| Credential | M.D. |
| Practice Address |
869 N Cherry St Tulare CA 93274-2207 |
| Mailing Address |
Po Box 906 Salida CA 95368-0906 |
| Practice Telephone | 2095779900 |
| Practice Fax Number | 2095771509 |
| Mailing Telephone | 2095779900 |
| Mailing Fax Number | 2095771509 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A82397 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790129633 | Prudence Ann Smith | Optometrist | 5886 Arlene Way, Livermore, CA 94550-8144 | 2013-04-22 |
| 1386650984 | Prudence Smith | Pathology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2006-08-01 |
| 1801878533 | Prudence Ellen Smith | Registered Nurse | 4290 Polk Ave, San Diego, CA 92105-1524 | 2005-11-17 |
| Street Address |
869 N CHERRY ST |
| City | TULARE |
| State | CA |
| Zip Code | 93274-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840723 | Tulare Local Health Care District | General Acute Care Hospital | 869 N Cherry St, Tulare, CA 93274-2207 | 2005-06-13 |
| 1801366711 | Adventist Health Tulare | General Acute Care Hospital | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-12-04 |
| 1306327846 | Cep America - California | Emergency Medicine | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-08-23 |
| 1255812889 | Galen Inpatient Physicians, Inc. | Internal Medicine | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-08-22 |
| 1215447164 | Zenaida Rodriguez | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-10-05 |
| 1215456017 | Ezequiel Gonzalez | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-09-12 |
| 1871018481 | Robert E Smith Md, A Professional Corporation | Anesthesiology | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-08-04 |
| 1043733827 | Dalila Kim | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-07-24 |
| 1306390638 | Cretia Guzman | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2016-08-03 |
| 1376997866 | Amandeep Singh Dhillon | Internal Medicine | 869 N Cherry St, Tulare, CA 93274 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
| 1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
| Find all providers in zip 93274 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1902107329 | California Medical Imaging Associates | Radiology | 869 N Cherry St, Tulare, CA 93274-2207 | 2010-11-17 |
| 1790709681 | Paul M Loeffler | Radiology | 869 N Cherry St, Tulare, CA 93274-2207 | 2006-07-26 |
| 1346262276 | Frank A Macaluso Jr. | Radiology | 869 N Cherry St, Tulare, CA 93274-2207 | 2006-07-23 |
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|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.