Active NPI
Ms-Chalae' Smith, CPT
- Phlebotomy Technician
- San Bernardino, CA
National Provider Identifier
1760228613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT-00043776
- Practice address
- 473 E. Carnegie Dr.
Suite 200
San Bernardino, CA 62408 - Phone
- (909) 644-7023
- NPI assigned
- Jul 1, 2024
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | CPT-00043776 | CA | Primary |
Addresses
Primary practice location
473 E. Carnegie Dr.
Suite 200
San Bernardino, CA 62408
Mailing address
1217 W Cheshire St
Rialto, CA 92377-4428
Phone (909) 644-7023
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 |
|---|---|---|---|
| CPT-00043776 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1760228613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 W CHESHIRE ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923774428",
"telephone_number": "909-644-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 E. CARNEGIE DR.",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "62408",
"telephone_number": "909-644-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MS-CHALAE'",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT-00043776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.