Jaziah M Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

58923 Business Centered Dr
Yucca Valley, CA 92284-3117

Phone

(603) 657-2097

Fax

(603) 657-2097

NPI assigned

May 22, 2007

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)

Not enrolled

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.

• Lutheran Social Services of Southern California

  • Community/Behavioral Health Agency
  • Yucca Valley, CA
  • NPI 1255778932
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1518176767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTERED DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-365-7209",
            "fax_number": "760-228-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTERED DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843117",
            "telephone_number": "603-657-2097",
            "fax_number": "603-657-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAZIAH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Ray Slaugh, O.D.
• Joshua Curtis Slone, EP-C
• Heather Smallwood
• Dana Deprophetis Smith, L.AC.
• Janet N Smith
• Jeffrey Stuart Smith, L.AC.
• Kelsey Andrea Kemp Smith
• Lavina Marie Smith
• Marlena E Smith
• Phonicia Smith

• Case Manager/Care Coordinator in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.