Nicole R Smith (NPI# 1902818412, PAC ID# 0547519035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902818412 |
| PAC ID by PECOS | 0547519035 |
| Professional Enrollment ID | I20180816000683 |
| Full Name | Nicole R Smith |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Address |
2140 Grand Ave Suite 260 Chino Hills CA 91709-6806 |
| Phone Number | 9094649800 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062546260 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2140 Grand Ave, Suite 260, Chino Hills, CA 91709-6806 | 9094649800 | PACIFIC DERMATOLOGY INSTITUTE |
| 770 Magnolia Ave, Suite 1h, Corona, CA 92879-3121 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| 255 Terracina Blvd, Suite 205c, Redlands, CA 92373-4870 | 9097932323 | PACIFIC DERMATOLOGY INSTITUTE |
| 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Iryna O Kinzer | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Thomas G Munyon | Dermatology | Pacific Dermatology Institute | 1481 Ford St, Suite 102, Redlands, CA 92373-3917 |
| Leon Edward Schwartz | Dermatology | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Jonathan Philip Igo | Nurse Practitioner | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Britney E Kaufman | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Jessica M St Jules | Physician Assistant | Pacific Dermatology Institute | 2140 Grand Ave, Suite 260, Chino Hills, CA 91709-6806 |
| Tiffiny Suzanne Pizzifred | Nurse Practitioner | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Krystalee A Krey | Physician Assistant | Pacific Dermatology Institute | 255 Terracina Blvd, Suite 205c, Redlands, CA 92373-4870 |
| Vincent Roy Fowler | Dermatology | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| John E Nicolaisen | Physician Assistant | Pacific Dermatology Institute | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2300 |
| Street Address |
2140 GRAND AVE SUITE 260 |
| City | CHINO HILLS |
| State | CA |
| Zip | 91709-6806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed Yehia Abdelwahe Elsharkawy | Family Medicine | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Joelle M Arkfeld | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Naheed Hamid Momand | Family Medicine | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Evangeline L Obrero | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Brian E Tessier | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Feven Wolday | Family Medicine | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Jessica M St Jules | Physician Assistant | Pacific Dermatology Institute | 2140 Grand Ave, Suite 260, Chino Hills, CA 91709-6806 |
| Alexis S Holverson | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Kenneth W Lee | Gastroenterology | Kenneth W Lee and Associates Inc | 2140 Grand Ave, Suite 120, Chino Hills, CA 91709-6801 |
| Chanuwat Suntalus | Physician Assistant | Premier Family Medicine Associates, Inc | 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6802 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert D Mansour | Chiropractic | 14740 Pipeline Ave A, Chino Hills, CA 91709-1293 | |
| Eric Mccabe | Physical Therapy | Pro-body Orthopaedic and Sports Physical Therapy, Inc. | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1294 |
| Christine L Follett | Physical Therapy | Pro-body Orthopaedic and Sports Physical Therapy, Inc. | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1294 |
| Nicholle Amoreena Henley | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709-1295 |
| Monique Michelle Burleigh Sanchez-castro | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709-1295 |
| Sula M Safar | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1295 |
| Craig Yoshio Endo | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1295 |
| Hanh H Larson | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Chino Hills, CA 91709-1295 |
| William Casas | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1295 |
| Jose E Ramos | Family Medicine | Premier Family Medicine Associates, Inc | 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709-1295 |
| Find all physicians in zip 91709 | |||
| City | CHINO HILLS |
| Zip Code | 91709 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHINO HILLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole R Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.