Lydia Ann Smith (NPI# 1912498726, PAC ID# 0840546461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912498726 |
| PAC ID by PECOS | 0840546461 |
| Professional Enrollment ID | I20180711002818 |
| Full Name | Lydia Ann Smith |
| Organization Legal Name | VIVACITAS MEDICAL GROUP PC |
| Address |
4855 Snyder Ln Apt 123 Rohnert Park CA 94928-4859 |
| Phone Number | 7075952816 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911270350 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4855 Snyder Ln, Apt 123, Rohnert Park, CA 94928-4859 | 7075952816 | VIVACITAS MEDICAL GROUP PC |
| Organization Legal Name | VIVACITAS MEDICAL GROUP PC |
| Physicians | 1 |
| Street Address |
4855 SNYDER LN APT 123 |
| City | ROHNERT PARK |
| State | CA |
| Zip | 94928-4859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venus A Maher | Chiropractic | 101 Golf Course Dr, C5, Rohnert Park, CA 94928-1772 | |
| Paula Shadid | Optometry | 987 Gold Course Dr, Rohnert Park, CA 94928-1892 | |
| Steven B Campbell | Chiropractic | 995 Golf Course Dr, Rohnert Park, CA 94928-1892 | |
| Linda R Park | Clinical Social Worker | 2 Padre Pkwy, Suite 100, Rohnert Park, CA 94928-2114 | |
| James E Bruns | Optometry | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 | |
| Krzysztof H Ziola | Internal Medicine | American Current Care of California, A Medical Corporation | 6174 State Farm Dr, Rohnert Park, CA 94928-2135 |
| Tiffanie Tian Yu | Optometry | James E Bruns Od A Professional | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 |
| Rebecca K Finnemore | Family Medicine | Petaluma Health Center Inc | 5900 State Farm Dr, Suite 200, Rohnert Park, CA 94928-2149 |
| Zunairah S Syed | Family Medicine | Permanente Medical Group Inc | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 |
| Amrita Sandhu | Family Medicine | Petaluma Health Center Inc | 5900 State Farm Dr, Suite 200, Rohnert Park, CA 94928-2149 |
| Find all physicians in zip 94928 | |||
| City | ROHNERT PARK |
| Zip Code | 94928 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROHNERT PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lydia Ann Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.