SANDRA JO SMITH (NPI# 1881867620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881867620 |
| Entity Type | Individual |
| Full Name | SANDRA JO SMITH |
| Credential | ARDMS |
| Practice Address |
5 Medical Plaza Dr Suite 250 Roseville CA 95661-2868 |
| Practice Telephone | 9167822229 |
| Mailing Telephone | 9167822229 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
48862 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157172 | Sandra Smith | Massage Therapist | 468 N Pond Fork Rd, Westminster, SC 29693-3218 | 2020-08-31 |
| 1366055832 | Sandra Gayle Smith | Technician | 270 Hickory Ln, Augusta, WV 26704-8429 | 2020-08-25 |
| 1528693389 | Sandra Yvette Smith | Registered Nurse | 8222 Beach Way Dr, Blaine, WA 98230-9581 | 2020-03-11 |
| 1619435260 | Sandra Smith | Private Vehicle | 6074 Charles Ave, Fayetteville, NC 28311-1286 | 2019-03-03 |
| 1164905964 | Sandra Louise Smith | Social Worker | 12 White Pine Ln, Kingston, MA 02364-1046 | 2018-09-08 |
| 1932621711 | Sandra Smith | Community Health Worker | 7103 Nw 73rd Ave, Tamarac, FL 33321-5467 | 2017-07-12 |
| 1386049823 | Sandra M Smith | Chiropractor | 10620 N 38th St, Phoenix, AZ 85028-3414 | 2014-10-27 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1154743649 | Sandra Mae Smith | Physical Therapy Assistant | 430 Lily Rd. Ne, Olympia, WA 98506 | 2014-01-17 |
| 1154754091 | Sandra Kelly Smith | Developmental Therapist | 8057 W Duane Dr, Frankfort, IL 60423-8102 | 2013-08-14 |
| Street Address |
5 MEDICAL PLAZA DR SUITE 250 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1114323912 | Rhonda Lynn Lee | Nurse Practitioner | 5 Medical Plaza Dr, #210, Roseville, CA 95661-2865 | 2014-11-06 |
| 1184965725 | Mark Drake | Podiatrist | 5 Medical Plaza Dr, 110, Roseville, CA 95661-2865 | 2013-03-06 |
| 1043579808 | Dennis Idowu | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2012-05-14 |
| 1811262348 | Wellspace Health | Clinic/Center | 5 Medical Plaza Dr, Suite 170, Roseville, CA 95661-2865 | 2012-03-16 |
| 1164796546 | Lorna Adolfo, A Professional Medical Corporation | Internal Medicine | 5 Medical Plaza Dr, Ste# 110, Roseville, CA 95661-2865 | 2012-03-01 |
| 1073884045 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 5 Medical Plaza Dr, Suite 180, Roseville, CA 95661-2865 | 2012-01-23 |
| 1801114988 | Brian Michael Bellucci | Internal Medicine | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 | 2010-05-13 |
| 1871822072 | Roseville Urology, Inc. | Urology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2009-12-17 |
| 1750526083 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 | 2008-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
| 1689132532 | Kevork Krajian | Radiologic Technologist | 2645 Risa Dr, Glendale, CA 91208-2355 | 2019-03-11 |
| 1699264309 | Shih-kang Cheng | Radiologic Technologist | 6359 San Rufo Cir, Buena Park, CA 90620-3639 | 2018-05-08 |
| 1649777814 | Jaimini Samir Shah | Radiologic Technologist | 780 Berryessa St, Livermore, CA 94551-8891 | 2018-04-12 |
| 1205377686 | Iheart Imaging | Radiologic Technologist | 722 Gleneagle Ave, Hayward, CA 94544-7208 | 2017-03-17 |
| 1275079949 | Kristen Mitchell | Radiologic Technologist | 5940 E Pontiac Way, Fresno, CA 93727-7941 | 2017-01-18 |
| 1700320215 | Joy K Clay | Radiologic Technologist | 760 Saratoga Ave Apt Z105, San Jose, CA 95129-2435 | 2016-12-19 |
| 1780134379 | Katerina Boghosian | Radiologic Technologist | 11043 Scoville Ave, Sunland, CA 91040-2013 | 2016-10-07 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1316319726 | Happy Feet Imaging, Inc. | Radiologic Technologist | 13585 Whittier Blvd, Suite 104, Whittier, CA 90605-4442 | 2015-10-24 |
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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.