Jeffrey Keith Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15652 Issued in CA

Practice address

950 N State St
BLDG B, Suite D & E
Hemet, CA 92543-1485

Phone

(951) 765-1777

Fax

(951) 765-1772

NPI assigned

Sep 29, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Em Alliance California, Apc

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1376305755
  Medicare reassignment
• St Jude Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Fullerton, CA
  • NPI 1720190804
  Medicare reassignment
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Menifee, CA
  • NPI 1063500106
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Temecula, CA
  • NPI 1427146471
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Fallbrook, CA
  • NPI 1568550523
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Wildomar, CA
  • NPI 1588752612
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Corona, CA
  • NPI 1659469625
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Hemet, CA
  • NPI 1720176845
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Temecula, CA
  • NPI 1801984935
  NPD (past)
• Pediatric Partners Medical Professional Corporation

  • Pediatrics Physician
  • Temecula, CA
  • NPI 1861561391
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497847859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "SUITE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902661",
            "telephone_number": "951-252-8588",
            "fax_number": "951-252-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N STATE ST",
            "address_2": "BLDG B, SUITE D & E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431485",
            "telephone_number": "951-765-1777",
            "fax_number": "951-765-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "KEITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertina D Smith-Banks, MD
• Julie Ann Smith-Clark, FNP
• Adriana Smith, MSW
• Dianne E. Smith, MPT
• Eddie Lee Smith Jr.
• Monica Smith
• Nikki Smith
• Penny Smith, FNP
• Stacie Lynn Smith
• Xavier Smith

• Medical Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.