TONYA LANETT SMITH PA
NPI 1992983001
Physician Assistant - Medical in Modesto, CA

Q: What is Tonya Smith's NPI number?

The NPI number for Tonya Smith is 1992983001. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Q: What is Tonya Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tonya Smith was last updated on July 21, 2022. 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 January 31, 2008PECOS Enrolled

1552 COFFEE RD STE 200, MODESTO, CA 95355(209) 248-7168(209) 846-9641 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017, Jun 2, 2017 (3 updates tracked since 2017).

On this page

About Tonya Lanett Smith Pa NPPES

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

TONYA LANETT SMITH PA (NPI 1992983001) is an individual medical provider in Modesto, California, licensed in California (PA19549) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992983001

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTONYA LANETT SMITHCredential: PA

Location Address1552 COFFEE RD STE 200Modesto, CA 95355-3122

Mailing AddressPo Box 1750Manteca, CA 95336-1153 · (209) 665-8566 · Fax (209) 846-9641

Phone(209) 248-7168

Fax(209) 846-9641

Sole ProprietorNo

Enumeration DateJanuary 31, 2008

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1992983001 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 · PA19549

1552 COFFEE RD STE 200, Modesto, CA 95355

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya Lanett Smith Pa 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 10

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

DR. MARINA NHUT NGUYEN NP

Nurse Practitioner (Family)