Individual provider · Type 1 NPI

Tamika Shanae Smith

Medical Physician Assistant · San Jacinto, CA

NPI number 1104769041 Active

Practice location

2220 Girard St
San Jacinto, CA 92583-5301

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1104769041

Tamika Shanae Smith's National Provider Identifier is 1104769041, issued on Apr 14, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Jacinto, CA. The record was last updated on Apr 14, 2026.