Active NPI
Chandra Smith
- Licensed Psychiatric Technician
- Covina, CA
National Provider Identifier
1477234458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 42592
- Practice address
- 510 S 2ND Ave Ste 7
Covina, CA 91723-3017 - Phone
- (626) 974-8122
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 42592 | CA | Primary |
Addresses
Primary practice location
510 S 2ND Ave Ste 7
Covina, CA 91723-3017
Mailing address
510 S 2ND Ave Ste 7
Covina, CA 91723-3017
Phone (626) 974-8122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42592 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1477234458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S 2ND AVE STE 7",
"city": "COVINA",
"state": "CA",
"postal_code": "917233017",
"telephone_number": "626-974-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S 2ND AVE STE 7",
"city": "COVINA",
"state": "CA",
"postal_code": "917233017",
"telephone_number": "626-974-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "42592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.