DR. C. MICHAEL SMITH (NPI# 1346306800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306800 |
| Entity Type | Individual |
| Full Name | DR. C. MICHAEL SMITH |
| Credential | MD |
| Practice Address |
28961 Savannah Dr Temecula CA 92591-7572 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3862906479 |
| Mailing Telephone | (386) 254-4000 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C140121 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 536809851A | 05 | |
| FL | MEDICAL LICENSE | ME97255 | 01 |
| Street Address |
28961 SAVANNAH DR |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-7572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362629 | Vitality Medical Group PC | Family Medicine | 27699 Jefferson Ave Ste 206, Temecula, CA 92590-2696 | 2017-08-17 |
| 1053751941 | Temecula Medical Group Inc | Family Medicine | 44054 Margarita Rd Ste 1, Temecula, CA 92592-2737 | 2013-06-25 |
| 1811280290 | Sunrise Complementary Medical Center | Family Medicine | 41661 Enterprise Cir N Ste 113, Temecula, CA 92590-5629 | 2011-05-18 |
| 1316275084 | Mobile Swallow Evals, Inc. | Family Medicine | 29645 Rancho Calif. Rd, #101, Temecula, CA 92591 | 2009-11-18 |
| 1780917666 | Jay A. Ferns D.o. A Professional Medical Corp. | Family Medicine | 29738 Rancho California Road, Suite B, Temecula, CA 92591 | 2009-09-10 |
| 1487893483 | Dennis Keith Miller | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2009-02-13 |
| 1568633246 | The Mcdonald Clinic Inc | Family Medicine | 31493 Rancho Pueblo Rd., Suite #107, Temecula, CA 92592-4832 | 2008-03-20 |
| 1033323746 | Temecula Valley Family Physicians Inc. | Family Medicine | 31720 Temecula Pkwy Ste 203, Temecula, CA 92592-5895 | 2007-05-10 |
| 1053530428 | Humberto S Aragon | Family Medicine | 41750 Winchester Rd., Ste. N, Temecula, CA 92590-4898 | 2007-04-24 |
| 1134249345 | Sylvia A Gisi, M.d. Inc. | Family Medicine | 31493 Rancho Pueblo Rd Ste 204, Temecula, CA 92592-4833 | 2007-03-30 |
| Find all providers in TEMECULA | ||||
Please comment or provide details below to improve the information on DR. C. MICHAEL SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.