Tomas Dante Smith

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

23564 Issued in CA

Practice address

1543 E Palmdale Blvd
Suite C
Palmdale, CA 93550-2000

Phone

(661) 274-1200

Fax

(661) 274-1199

NPI assigned

Jul 29, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)
• Lakeside Medical Associates, a Medical Group, Inc.

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275
  NPD (past)
• Roy Medical Group, Inc.

  • General Practice Physician
  • Canoga Park, CA
  • NPI 1801921952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1093123564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 E PALMDALE BLVD",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502000",
            "telephone_number": "661-274-1200",
            "fax_number": "661-274-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 E PALMDALE BLVD",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502000",
            "telephone_number": "661-274-1200",
            "fax_number": "661-274-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TOMAS DANTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "23564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Smith
• Miles Smith
• Muriel Francis Smith, LVN
• Rachelle Renee Smith
• Rosio Smith, RN
• Snow Nakano & Lopez Professional Dental Corporation
• Snow Orthodontics Dental Group Professional Corporation
• Snow Palmdale Dental Office Inc.
• Snow Palmdale Family Dentistry PC
• Snow Pedodontics Dental Group Professional Corporation

• Pediatric Clinical Nurse Specialist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Pediatric Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.