Individual provider Active NPI

Patricia Denise Smith, CNA, CHHA

  • Home Health Aide
  • Riverside, CA
National Provider Identifier
1114064706
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
00130600 Issued in CA
Practice address
1700 Iowa Ave
Suite 230
Riverside, CA 92507-2420
Phone
(951) 369-8604
Fax
(951) 715-4594
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 00130600 CA Primary
Nurse's Aide 376K00000X 00433753 CA

Addresses

Primary practice location

1700 Iowa Ave
Suite 230
Riverside, CA 92507-2420

Mailing address

1355 S Perris Blvd
#168
Perris, CA 92570-2584
Phone (951) 443-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00130600CAMDHome Health Aide
00433753CAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114064706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S PERRIS BLVD",
            "address_2": "#168",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702584",
            "telephone_number": "951-443-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 IOWA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072420",
            "telephone_number": "951-369-8604",
            "fax_number": "951-715-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "DENISE",
        "credential": "CNA, CHHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "00130600",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00433753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.