Individual provider Active NPI

Dorinda A Smith, MS IMMUNOTOXICOLOGY

  • Health Educator
  • Ramona, CA
National Provider Identifier
1932824208
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
27052 Deer Canyon Dr
Ramona, CA 92065-6708
Phone
(760) 315-1021
Fax
(760) 377-8697
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

27052 Deer Canyon Dr
Ramona, CA 92065-6708

Mailing address

27052 Deer Canyon Dr
Ramona, CA 92065-6708
Phone (760) 760-1890

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherCANO INSURANCE OR OTHER IDENTIFIERS

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1932824208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27052 DEER CANYON DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920656708",
            "telephone_number": "760-760-1890",
            "fax_number": "760-377-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27052 DEER CANYON DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920656708",
            "telephone_number": "760-315-1021",
            "fax_number": "760-377-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DORINDA",
        "middle_name": "A",
        "credential": "MS IMMUNOTOXICOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO INSURANCE OR OTHER IDENTIFIERS",
            "identifier": "1234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.