Mary Margaret Smith
Community Health Worker in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1053179366
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1053179366
- Entity type
- Individual (NPI-1)
- Name
- Mary Margaret Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
10801 6th St Ste 120Rancho Cucamonga, CA 91730-5987
Phone 760-876-0836
Mailing address
10801 6th St Ste 120Rancho Cucamonga, CA 91730-5987
Phone 760-876-0836
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 85 Community Health Worker providers in Rancho Cucamonga · All 5,953 providers in Rancho Cucamonga
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