KRISTA SMITH (NPI# 1942274220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942274220 |
| Entity Type | Individual |
| Full Name | KRISTA SMITH |
| Credential | PA |
| Practice Address |
55 E California Blvd Suite 204 Pasadena CA 91105-3954 |
| Mailing Address |
145 Vista Ave Suite 104 Pasadena CA 91107-3607 |
| Practice Telephone | 6267928550 |
| Practice Fax Number | 6267923611 |
| Mailing Telephone | 6263978335 |
| Mailing Fax Number | 6263978350 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17084 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083261325 | Krista Stephenson Smith | Counselor | 256 Honeysuckle Rd Ste 14, Dothan, AL 36305-1168 | 2019-08-21 |
| 1295901635 | Krista Smith | Speech-Language Pathologist | 3123 Patrick Henry Dr, Unit 323, Falls Church, VA 22044-2331 | 2008-05-06 |
| 1306479951 | Krista Michel Smith | Pharmacist | 2700 N Grandview Blvd, Waukesha, WI 53188-1611 | 2020-02-21 |
| 1679135131 | Krista Smith | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-05 |
| 1982268355 | Krista Marie Smith | Physician Assistant | 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043-9612 | 2019-04-30 |
| 1356904296 | Krista Smith | Counselor | 3518 W 25th St, Cleveland, OH 44109-1951 | 2019-04-16 |
| 1578081725 | Krista Nichole Smith | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2017-09-07 |
| 1508241605 | Krista Ann Smith | Social Worker | 2980 Belmont Ave, Youngstown, OH 44505-1834 | 2015-07-30 |
| 1902281124 | Krista Marie Smith | Counselor | 1820 Memorial Cir, Clarksville, TN 37043-4539 | 2015-07-29 |
| 1346632254 | Krista Smith | Nurse Anesthetist, Certified Registered | 1250 E Marshall St, Department of Anesthesiology, Richmond, VA 23298-5051 | 2015-03-02 |
| Street Address |
55 E CALIFORNIA BLVD SUITE 204 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336128115 | Hj Enterprises | Pharmacy | 55 E California Blvd, Ste 103, Pasadena, CA 91105-3914 | 2006-01-11 |
| 1750833877 | Southern California Heart Specialists Inc | Internal Medicine | 55 E California Blvd, Third Floor, Pasadena, CA 91105-3954 | 2016-10-25 |
| 1538565858 | Raymond S Yen, Md | Internal Medicine | 55 E California Blvd, Third Floor, Pasadena, CA 91105-3954 | 2014-11-13 |
| 1275940264 | John L Easthope Jr Md Inc | Internal Medicine | 55 E California Blvd, Third Floor, Pasadena, CA 91105-3954 | 2014-07-22 |
| 1811248792 | P & K Pharmacy, Inc | Pharmacist | 55 E California Blvd, Suite 103, Pasadena, CA 91105-3954 | 2012-10-02 |
| 1437442290 | Ryan Kemp | Podiatrist | 55 E California Blvd, Suite 204, Pasadena, CA 91105-3954 | 2011-05-26 |
| 1073744264 | Minah Kim | Pharmacist | 55 E California Blvd, Suite 103, Pasadena, CA 91105-3954 | 2009-08-05 |
| 1750540647 | Albert Shieh | Internal Medicine | 55 E California Blvd, Suite 204, Pasadena, CA 91105-3954 | 2008-06-05 |
| 1235309493 | Joel W Heger Md, Inc. | Internal Medicine | 55 E California Blvd, 3rd Floor, Pasadena, CA 91105-3954 | 2008-03-04 |
| 1568631091 | Jennifer Chang | Internal Medicine | 55 E California Blvd, Ste 204, Pasadena, CA 91105-3954 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593397 | Elyssa Summer Mccormack | Physician Assistant | 275 N Oakland Ave Apt 2, Pasadena, CA 91101-1647 | 2020-09-19 |
| 1356951941 | Emily Lynn Yang | Physician Assistant | 3219 Fairpoint St, Pasadena, CA 91107-1202 | 2020-08-07 |
| 1326675414 | Melissa Real | Physician Assistant | 845 Wright Ave, Pasadena, CA 91104-4466 | 2020-03-26 |
| 1164064762 | Nikita Phiroz Engineer | Physician Assistant | 4102 Woodlawn Ave Ste 210, Pasadena, TX 77504-1949 | 2019-10-15 |
| 1275189979 | Robert Hennington | Physician Assistant | 111 Red Bluff Rd, Pasadena, TX 77506-1530 | 2019-08-18 |
| 1306329586 | Sofia Fiona Knoppel-calas | Physician Assistant | 215 N Allen Ave, Pasadena, CA 91106-1601 | 2018-09-13 |
| 1598136517 | Cara Kylie Jugant | Physician Assistant | 3450 Fairpoint St, Pasadena, CA 91107-1207 | 2015-10-16 |
| 1962870451 | Christopher Fong | Physician Assistant | 455 W Montana St, Pasadena, CA 91103-1327 | 2015-09-14 |
| 1629451380 | Mary Evelyn Smith | Physician Assistant | 2080 San Pasqual St, Pasadena, CA 91107-5157 | 2015-06-30 |
| 1861899445 | Ryan Whitworth | Physician Assistant | 140 N Lake Ave, Pasadena, CA 91101-1836 | 2014-11-26 |
| Find all providers in PASADENA | ||||
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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.