LA WANDA DENISE SMITH (NPI# 1578761664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578761664 |
| Entity Type | Individual |
| Full Name | LA WANDA DENISE SMITH |
| Credential | NP |
| Practice Address |
3591 E Imperial Hwy Lynwood CA 90262-2654 |
| Mailing Address |
1910 W Sunset Bl Ste 650 Los Angeles CA 90026-3281 |
| Practice Telephone | 3106389025 |
| Mailing Telephone | 2134841186 |
| Mailing Fax Number | 2134133443 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP14670 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
14670 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3591 E IMPERIAL HWY |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619036621 | Alva A Marsh | Internal Medicine | 3591 E Imperial Hwy, Ste 1, Lynwood, CA 90262 | 2006-12-06 |
| 1790266583 | Maria Teresa Campos | Community Health Worker | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2018-08-28 |
| 1164901617 | Cynthia Lopez | Community Health Worker | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2018-08-07 |
| 1780163170 | Elizabeth Gallegos | Community Health Worker | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2018-08-07 |
| 1407335896 | Esperanza Sepulveda | Community Health Worker | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2018-08-07 |
| 1447506753 | Guadalupe Preciado | Licensed Vocational Nurse | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2012-07-24 |
| 1386902708 | Jwch Institute Inc | Clinic/Center | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2012-04-24 |
| 1902178338 | Southern California Health & Rehabilitation Program | Community/Behavioral Health | 3591 E Imperial Hwy, Lynwood, CA 90262-2684 | 2012-02-01 |
| 1346423787 | Jwch Institute, Inc. | Clinic/Center | 3591 E Imperial Hwy, Lynwood, CA 90262-2654 | 2007-12-07 |
| 1124182977 | Jwch Institute, Inc. | Clinic/Center | 3591 E Imperial Hwy, Lynwood, CA 90262-2684 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA WANDA DENISE 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.