Tomas Dante Smith, is a
Clinical Nurse Specialist - Pediatrics based in Palmdale, California. Tomas Dante Smith is licensed to practice in California (license number 23564) and his current practice location is
1543 E Palmdale Blvd, Suite C, Palmdale, California. He can be reached at his office (for appointments etc.) via phone at
(661) 274-1200.
NPI number for Tomas Dante Smith is 1093123564 and his current mailing address is 1543 E Palmdale Blvd, Suite C, Palmdale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093123564.
Provider's Profile
| Full Name | Tomas Dante Smith |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Pediatrics |
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| Location | 1543 E Palmdale Blvd, Palmdale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093123564
- Provider Enumeration Date: 07/29/2014
- Last Update Date: 07/29/2014
Medical Identifiers
Medical identifiers for Tomas Dante Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093123564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0200X | Clinical Nurse Specialist - Pediatrics | 23564 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tomas Dante Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tomas Dante Smith,
1543 E Palmdale Blvd, Suite C,
Palmdale, CA 93550-2000
Ph: (661) 274-1200 | Tomas Dante Smith,
1543 E Palmdale Blvd, Suite C,
Palmdale, CA 93550-2000
Ph: (661) 274-1200 |
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