MR. RAYMOND N SMITH FNP NPI 1609941632

NPI Information

  • NPI: 1609941632
  • Provider Name: MR. RAYMOND N SMITH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 160 E ARTESIA ST
    SUITE 220
    POMONA, CA
    ZIP 91767
  • Phone: (909) 865-1020

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NPI Details

MR. Raymond N Smith, FNP is a family nurse practitioner in Pomona, CA. MR. Raymond N Smith, FNP NPI is 1609941632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

160 E ARTESIA ST
SUITE 220
POMONA, CA
ZIP 91767-900
Phone: (909) 865-1020
Fax: (909) 865-1202

The enumeration date for this NPI number is 11/22/2006 and was last updated on 4/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily14029CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RN399918MEDICAIDCALIFORNIA
2EW603YMEDICARE PINCALIFORNIA
3EW603ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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