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MS. RHONDA MICHELLE SMITH PHYSICIAN ASSISTANT
NPI 1649437997
Physician Assistant - Medical in Modesto, CA

Active since May 22, 2008PECOS Enrolled
1300 MABLE AVENUE, SUITE 2, MODESTO, CA 95355(209) 571-1992(209) 571-1994 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Rhonda Michelle Smith Physician Assistant NPPES

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

MS. RHONDA MICHELLE SMITH PHYSICIAN ASSISTANT (NPI 1649437997) is an individual medical provider in Modesto, California, licensed in California (PA14435) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649437997
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. RHONDA MICHELLE SMITHCredential: PHYSICIAN ASSISTANT
Location Address1300 MABLE AVENUE, SUITE 2Modesto, CA 95355
Mailing Address1300 Mable Avenue, Suite 2Modesto, CA 95355 · (209) 571-1992 · Fax (209) 571-1994
Phone(209) 571-1992
Fax(209) 571-1994
Sole ProprietorNo
Enumeration DateMay 22, 2008
Last NPPES UpdateNovember 28, 2012
✔ NPI 1649437997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14435
1300 MABLE AVENUE, Modesto, CA 95355
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Other Names 1

Former Name (1)Rhonda Michelle Johnson Physician Assistant

Other Identifiers 2

Medicare UPINS50273CA
OtherPA14435CA · Pa License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rhonda Michelle Smith Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC
Neuromusculoskeletal Medicine, Sports Medicine
1300 MABLE AVENUE, SUITE 2
MODESTO, CA 95355
Stanislaus County (209) 571-1992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rhonda Smith's NPI number?

The NPI number for Rhonda Smith is 1649437997. It was assigned to this individual provider in the NPPES registry on May 22, 2008. The provider is also known as Rhonda Michelle Johnson Physician Assistant.

Where is Rhonda Smith located?

Rhonda Smith practices at 1300 Mable Avenue Suite 2, Modesto, CA 95355. The listed phone number is (209) 571-1992.

What is Rhonda Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rhonda Smith enrolled in Medicare?

Yes. Rhonda Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rhonda Smith was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.