MR. CHADWYCKE RICHARD SMITH (NPI# 1902387293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902387293 |
Entity Type | Individual |
Full Name | MR. CHADWYCKE RICHARD SMITH |
Credential | NP, AGACNP-BC |
Practice Address |
8700 Beverly Blvd # A6600 West Hollywood CA 90048-1804 |
Mailing Address |
8600 Burton Way Apt 204 Los Angeles CA 90048-6712 |
Practice Telephone | 3104237900 |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-08-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95009361 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8700 BEVERLY BLVD # A6600 |
City | WEST HOLLYWOOD |
State | CA |
Zip Code | 90048-1804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
Find all providers in zip 90048 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588037618 | Christopher Thomas Lopiccolo | Nurse Practitioner | 8700 Beverly Blvd # Ac1060, West Hollywood, CA 90048-1804 | 2015-11-11 |
1306220587 | Raymond Hummel | Nurse Practitioner | 750 N Kings Rd Apt 318, West Hollywood, CA 90069-5909 | 2015-07-16 |
1053911818 | Summer Victoria Williamson | Nurse Practitioner | 8900 Beverly Blvd, West Hollywood, CA 90048-2438 | 2020-10-29 |
1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
1205465945 | Jonathan Hughes | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-04-04 |
1861022006 | Jennifer Astrid Sevilla | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-01-16 |
1588214795 | Veronica L Acevedo | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2019-09-19 |
1639728124 | Minerva Marquez Macias | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2019-09-06 |
Find all providers in WEST HOLLYWOOD |
City | WEST HOLLYWOOD |
Zip Code | 90048 |
Please comment or provide details below to improve the information on MR. CHADWYCKE RICHARD 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.