KHALED IBRAHIM MOH'D AL SMADI
NPI 1891431334
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since May 09, 2022
2101 N. WATERMAN AVENUE, SAN BERNARDINO, CA 92404(909) 644-5892 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, May 9, 2022 (2 updates tracked since 2022).

About Khaled Ibrahim Moh'd Al Smadi NPPES

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

KHALED IBRAHIM MOH'D AL SMADI (NPI 1891431334) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1891431334
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHALED IBRAHIM MOH'D AL SMADI
Location Address2101 N. WATERMAN AVENUESan Bernardino, CA 92404
Mailing Address6155 Palm Ave Apartment 1409San Bernardino, CA 92407 · (951) 419-9070
Sole ProprietorNo
Enumeration DateMay 9, 2022
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1891431334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2101 N. WATERMAN AVENUE, San Bernardino, CA 92404

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
2101 N. WATERMAN AVENUE
SAN BERNARDINO, CA 92404
Emergency Medicine
2101 N. WATERMAN AVENUE
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
2101 N. WATERMAN AVENUE, ST. BERNARDINE MEDICAL CENTER
SAN BERNARDINO, CA 92404

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 Khaled Al Smadi's NPI number?

The NPI number for Khaled Al Smadi is 1891431334. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Khaled Al Smadi located?

Khaled Al Smadi practices at 2101 N. Waterman Avenue, San Bernardino, CA 92404. The listed phone number is (909) 644-5892.

What is Khaled Al Smadi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Khaled Al Smadi was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.