SANDRA JAZMIN SMITH RBT
NPI 1184127904
Technician, Other in Stockton, CA

Q: What is Sandra Smith's NPI number?

The NPI number for Sandra Smith is 1184127904. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Q: What is Sandra Smith's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Smith was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2018

1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207(209) 452-8996 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, Mar 18, 2018 (2 updates tracked since 2018).

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About Sandra Jazmin Smith Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA JAZMIN SMITH RBT (NPI 1184127904) is an individual technician, other provider in Stockton, California and active in the NPI registry since March 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184127904

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameSANDRA JAZMIN SMITHCredential: RBT

Location Address1811 GRAND CANAL BLVD STE 2Stockton, CA 95207-8107

Mailing Address16713 Victorian TrlLathrop, CA 95330-8835 · (209) 808-2745

Phone(209) 452-8996

Sole ProprietorYes

Enumeration DateMarch 18, 2018

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1184127904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

1811 GRAND CANAL BLVD STE 2, Stockton, CA 95207

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Secondary Practice Locations 2

Location 16400 Tupelo DrCitrus Heights, CA 95621-1741 · Phone (916) 729-3098

Location 2500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817 · Phone (877) 418-2978 · Fax (866) 500-2186

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADEED HASAN II

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