Wayne Anthony Smith
Case Manager/Care Coordinator in Van Nuys, CA. Individual provider (NPI-1).
NPI number1962016550
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1962016550
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wayne Anthony Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
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 |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
15339 Saticoy StVan Nuys, CA 91406-3345
Phone 818-947-2019
Mailing address
11856 Balboa Blvd # 210Granada Hills, CA 91344-2753
Phone 818-852-5520
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 44 Case Manager/Care Coordinator providers in Van Nuys · All 7,072 providers in Van Nuys
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