Individual provider Active NPI

Claudia D Smith, NP

  • Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1780734632
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7824 Issued in CA
Practice address
20044 Cedar Rd N
MLMC
Sonora, CA 95370-5900
Phone
(209) 694-2600
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 241566 CA
Nurse Practitioner 363L00000X 7824 CA Primary

Addresses

Primary practice location

20044 Cedar Rd N
MLMC
Sonora, CA 95370-5900

Mailing address

20044 Cedar Rd N
MLMC
Sonora, CA 95370-5900
Phone (209) 694-2600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060201000275 CA Practitioner - Nurse Practitioner 1052325875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

12811 Covey Cir
Sonora, CA 95370-5935
Phone (209) 536-5196

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6925

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
241566CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Dec 1, 2010 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2007 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2007 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665

14542 Lolly Ln
Sonora, CA 95370
Phone (209) 536-3625

193 Fairview Ln
Ste B
Sonora, CA 95370
Phone (209) 532-5100

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1780734632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20044 CEDAR RD N",
            "address_2": "MLMC",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705900",
            "telephone_number": "209-694-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20044 CEDAR RD N",
            "address_2": "MLMC",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705900",
            "telephone_number": "209-694-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLAUDIA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "241566",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.