LOREN DONNELL SMITH OD INC NPI 1649692575

NPI Information

  • NPI: 1649692575
  • Provider Name: LOREN DONNELL SMITH OD INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 35149 NEWARK BLVD
    STE C
    NEWARK, CA
    ZIP 94560
  • Phone: (510) 796-3937

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NPI Details

LOREN DONNELL SMITH OD INC is a clinic center in Newark, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LOREN DONNELL SMITH OD INC NPI is 1649692575. The provider is registered as an organization entity type.

The provider's business location address is:

35149 NEWARK BLVD
STE C
NEWARK, CA
ZIP 94560-209
Phone: (510) 796-3937

The provider's authorized official is Loren Donnell Smith .
The authorized official title is Cmo/ and has the following contact phone number (510) 796-3937.

The enumeration date for this NPI number is 1/13/2014 and was last updated on 1/13/2014.

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
1261Q00000XClinic/Center07354TLGCALIFORNIAYes

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
1U32025MEDICARE UPINCALIFORNIA
2SD0073540MEDICAIDCALIFORNIA
3WOP07354AMEDICARE 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: 11/21/2025

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