Active NPI
Heather Smallwood
- Student in an Organized Health Care Education/Training Program
- Yucca Valley, CA
National Provider Identifier
1194635474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 7281 Dumosa Ave Ste 3&4
Yucca Valley, CA 92284-3769 - Phone
- (760) 853-4755
- Fax
- (760) 513-9717
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
7281 Dumosa Ave Ste 3&4
Yucca Valley, CA 92284-3769
Mailing address
7281 Dumosa Ave Ste 3And4
Yucca Valley, CA 92284-3769
Phone (760) 853-4755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1194635474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7281 DUMOSA AVE STE 3AND4",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843769",
"telephone_number": "760-853-4755",
"fax_number": "760-513-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7281 DUMOSA AVE STE 3&4",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843769",
"telephone_number": "760-853-4755",
"fax_number": "760-513-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.