| Mr David Cooper Smith, FNP-BC, PHN, CNL | |
|
81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518 | |
| (760) 340-0707 | |
| Not Available |
| Full Name | Mr David Cooper Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 81719 Dr Carreon Blvd Ste A, Indio, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144860651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP95032693 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Comprehensive Medical Group Inc | 4587601786 | 4 |
| Entity Name | Valley Comprehensive Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164506358 PECOS PAC ID: 4587601786 Enrollment ID: O20050408001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Cooper Smith, FNP-BC, PHN, CNL 82879 Kingsboro Ln, Indio, CA 92201-9667 Ph: (415) 341-7742 | Mr David Cooper Smith, FNP-BC, PHN, CNL 81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518 Ph: (760) 340-0707 |
Mr. Steven Joseph Hernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81812 Doctor Carreon Blvd Ste E, Indio, CA 92201 Phone: 442-236-1498 Fax: 886-315-1508 | |
Mc Michael Balsamo Chan, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 81555 Jfk Ct, Indio, CA 92201 Phone: 760-600-8093 | |
Lizette Cerna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80495 Us Highway 111, Indio, CA 92201 Phone: 760-347-2887 Fax: 760-347-0776 | |
Ms. He Lin, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 81555 Jfk Ct, Indio, CA 92201 Phone: 844-905-4643 | |
Mr. Daniel Jay Gendron, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111 | |
Ms. Sierra H Boettcher, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd Ste C3, Indio, CA 92201 Phone: 760-541-5888 Fax: 760-391-5159 |