Active NPI
Lonnie Ray Smith, M.D.
- Otolaryngology Physician
- Tulare, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G516370
- Practice address
- 1066 N Cherry St
Tulare, CA 93274-2251 - Phone
- (559) 686-2599
- Fax
- (559) 686-5206
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 12, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G516370 | CA | Primary |
Addresses
Primary practice location
1066 N Cherry St
Tulare, CA 93274-2251
Mailing address
470 E Chevy Chase Dr
Tulare, CA 93274-1509
Phone (559) 688-7614
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G516371 | Medicaid | CA | |
| 1730494634 | Other | CA | NPI-TYPE 2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Altura Centers for Health
Practice addresses (Care Compare)
1066 N Cherry St
Tulare, CA 93274-2251
Phone (559) 686-2599
1101 N Cherry St
Tulare, CA 93274-2231
Phone (559) 686-9097
1917 4TH St S
Suite 101
Great Falls, MT 59405-4116
Phone (406) 453-7570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G516370 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altura Centers for Health | Otolaryngology | Current | Accepting new patients |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Aristamd | Current | Accepting new patients | |
| Altura Centers for Health | Otolaryngology | Current | Accepting new patients |
| Altura Centers for Health | Otolaryngology | Current | Accepting new patients |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Adventist Health Tulare | Past | Accepting new patients |
Locations
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777
1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097
1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lonnie.smith.p1@direct.altura.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Medical Center-Copperopolis | Rural health clinic | W-2 Managing Employee | Oct 1, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Family Medical Center - Copperopolis
- Rural Health Clinic/Center
- Copperopolis, CA
- NPI 1588725196
W-2 Managing Employee
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Tulare, CA
- NPI 1730494634
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1902092489
-
- Federally Qualified Health Center (FQHC)
- Tulare, CA
- NPI 1023011632
Otolaryngology
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1235671660
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Federally Qualified Health Center (FQHC)
- Tulare, CA
- NPI 1346486511
Otolaryngology
-
- Federally Qualified Health Center (FQHC)
- Tulare, CA
- NPI 1629835426
Otolaryngology
-
dba Department of State Hospitals - Patton
- Psychiatric Hospital
- Patton, CA
- NPI 1043249204
-
dba Department of State Hospitals-Atascadero
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1992817936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E CHEVY CHASE DR",
"city": "TULARE",
"state": "CA",
"postal_code": "932741509",
"telephone_number": "559-688-7614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932742251",
"telephone_number": "559-686-2599",
"fax_number": "559-686-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LONNIE",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G516370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G516371",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-TYPE 2",
"identifier": "1730494634",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.