DR. ANDREA DAWN SMITH (NPI# 1801064969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801064969 |
| Entity Type | Individual |
| Full Name | DR. ANDREA DAWN SMITH |
| Credential | M.D. |
| Practice Address |
11234 Anderson St Loma Linda CA 92354-2804 |
| Mailing Address |
11370 Anderson St Suite 2600 Loma Linda CA 92354-3450 |
| Practice Telephone | 9095582890 |
| Practice Fax Number | 9095582891 |
| Mailing Telephone | 9095582890 |
| Mailing Fax Number | 9095582891 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A100846 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934442 | Andrea Jean Smith | Adult Companion | 3318 N Defiance St, Tacoma, WA 98407-1512 | 2019-10-25 |
| 1003462631 | Andrea N Smith | Registered Nurse | 44-3703 Kukuipapa Rd, Paauilo, HI 96776 | 2019-08-09 |
| 1619454493 | Andrea Smith | Specialist | 3619 N Arlington Ave, Indianapolis, IN 46218-1806 | 2018-07-24 |
| 1831637073 | Andrea Smith | Physical Therapist | 63675 E Saddlebrooke Blvd Ste R, Tucson, AZ 85739-1297 | 2017-02-08 |
| 1396287421 | Andrea Smith | Developmental Therapist | 1211 Cuyler Ave, Berwyn, IL 60402-1118 | 2016-11-07 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1275991614 | Andrea Smith | Counselor | 27 S Sherman St, Apt. 206, Denver, CO 80209-1662 | 2016-01-31 |
| 1780005678 | Andrea Arenas Smith | Advanced Practice Midwife | 25415 York Rd, Royal Oak, MI 48067-3021 | 2013-12-19 |
| 1205266285 | Andrea Smith | Occupational Therapist | 2110 Crossover Dr, Cumming, GA 30040-9636 | 2013-11-12 |
| 1942641071 | Andrea Lynette Smith | Physical Therapist | 124 Linda Ave, Delran, NJ 08075-2110 | 2013-07-17 |
| Street Address |
11234 ANDERSON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794657 | Leigh Ann Ballou | Physician Assistant | 11234 Anderson St, Rm 2562b, Loma Linda, CA 92354-2804 | 2005-07-14 |
| 1285233759 | Daemian Alexander Martin Sr. | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-10-25 |
| 1922610450 | Samantha Zepeda Merchant | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-08-17 |
| 1609493451 | Romina Mcgalliard | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-27 |
| 1811514854 | Christopher Jihoon Kim | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-25 |
| 1912523135 | Shelly Marie Bogue | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-23 |
| 1962028613 | Sikai Song | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-18 |
| 1720604515 | Nelson Horsley | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-17 |
| 1134744055 | Teddy Matthew Mumu | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-16 |
| 1124643135 | Kristofer John Vance | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710231394 | Deborah Jane Mccloud | Dermatology | 2794 N Loma Linda Dr, Loma Linda, MO 64804-8863 | 2012-11-02 |
| 1568696789 | Harry Dao Jr. | Dermatology | 11370 Anderson St Ste 2600, Loma Linda, CA 92354-3450 | 2009-05-04 |
| 1578705075 | Lavonne Marie Meadows | Dermatology | 25815 Barton Rd Ste 101, Loma Linda, CA 92354-3894 | 2009-03-30 |
| 1043391576 | Jane Mieko-hirokane Cantos | Dermatology | Jerry L Pettis Veterans Hospital; Medical Service 111d, 11201 Benton Avenue, Loma Linda, CA 92357-1000 | 2006-10-18 |
| 1760953152 | Christina Tollefson | Dermatology | 11201 Benton St, Loma Linda, CA 92357-1000 | 2018-12-10 |
| 1962908871 | Brittanya Limone | Dermatology | 25865 Barton Rd Ste 101, Loma Linda, CA 92354-3896 | 2018-04-02 |
| 1508151556 | Conroy Chow | Dermatology | 11370 Anderson St Ste 2600, Loma Linda, CA 92354-3450 | 2011-06-17 |
| 1700048634 | Janiene Denise Luke | Dermatology | 11370 Anderson St, Ste 2600, Loma Linda, CA 92354-3450 | 2008-07-01 |
| 1275714545 | Betsy J. Furukawa | Dermatology | 25865 Barton Road, Suite 101, Building D, Loma Linda, CA 92354 | 2007-11-15 |
| 1073710612 | Shawna Kay Langley | Dermatology | 11370 Anderson St, Suite 2600, Loma Linda, CA 92354-3450 | 2007-06-28 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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| 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.