TINA M. SMITH (NPI# 1922150143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922150143 |
| Entity Type | Individual |
| Full Name | TINA M. SMITH |
| Credential | MD |
| Practice Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9252954000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G52892 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G528920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741511 | Tina M Smith | Registered Nurse | 1562 6th St N, Birmingham, AL 35204-2220 | 2019-03-26 |
| 1275020091 | Tina Suzette Smith | Licensed Vocational Nurse | 1105 Town Lake Dr, Longview, TX 75601-4927 | 2018-04-17 |
| 1558756361 | Tina Marcel Smith | Licensed Practical Nurse | 1095 Fountain Ln, Apt A, Columbus, OH 43213-4159 | 2015-03-30 |
| 1891189197 | Tina Lavette Smith | Home Health | 340 N Sam Houston Pkwy E Ste 243, Houston, TX 77060-3394 | 2015-03-24 |
| 1053757948 | Tina I Smith | Specialist | 3211 Autumn Chase Way Ne Apt 104, Salem, OR 97305-1561 | 2013-05-17 |
| 1952543738 | Tina Marie Smith | Physician Assistant | 53 State St, Struthers, OH 44471-1981 | 2009-03-25 |
| 1174761563 | Tina M Smith | Behavioral Analyst | 2601 Manorwood Dr, Melbourne, FL 32901-5828 | 2009-01-23 |
| 1538347323 | Tina Nicole Smith | Physical Therapy Assistant | 505 Briarwood Dr, L8, Enterprise, AL 36330-5029 | 2008-02-05 |
| 1720273782 | Tina M Smith | Pediatrics | 310 E 8th St Ste 130, Marietta, OH 45750-3379 | 2007-09-12 |
| 1124241831 | Tina Carita Smith | Registered Nurse | 184 Professional Dr Unit A, Baldwin, GA 30511-4012 | 2007-04-11 |
| Street Address |
1425 S MAIN ST |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
| 1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
| 1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
| 1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
| 1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
| 1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
| 1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
| 1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192359 | Veritas Plastic Surgery | Plastic Surgery | 1776 Ygnacio Valley Rd Ste 202, Walnut Creek, CA 94598-3125 | 2016-09-19 |
| 1043466410 | Angela Song Landfair | Plastic Surgery | 1425 S Main St Fl 3, Walnut Creek, CA 94596-5318 | 2008-08-17 |
| 1275708877 | Bradford True Prescott | Plastic Surgery | 100 N Wiget Ln Ste 100, Walnut Creek, CA 94598-5909 | 2008-04-24 |
| 1073563045 | Kevin Francis Degnan | Plastic Surgery | 2021 Ygnacio Valley Rd, Building H. Suite 202, Walnut Creek, CA 94598 | 2006-05-11 |
| 1386115582 | Golden Hills Plastic Surgery Inc. | Plastic Surgery | 100 N Wiget Ln Ste 100, Walnut Creek, CA 94598-5909 | 2018-12-16 |
| 1598137416 | Seth Eberlin Md | Plastic Surgery | 100 N Wiget Ln, Ste 100, Walnut Creek, CA 94598-5988 | 2015-10-30 |
| 1811295819 | Seth Eberlin | Plastic Surgery | 100 N Wiget Ln, Suite 100, Walnut Creek, CA 94598-5988 | 2011-03-01 |
| 1982874657 | Dennis Yong Song | Plastic Surgery | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2008-03-09 |
| 1134313398 | Joseph A. Mele, IIi, M.d., Inc. | Plastic Surgery | 130 La Casa Via, Building 2, Suite 206, Walnut Creek, CA 94598-3045 | 2007-08-30 |
| 1407996358 | Bradford T. Prescott Medical Corporation | Plastic Surgery | 100 N Wiget Ln, Suite #100, Walnut Creek, CA 94598-5988 | 2007-02-08 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.