IndividualActive
Tamika Smith
NPI 1104769041 · Medical Physician Assistant · San Jacinto, CA
Provider details
- NPI number
- 1104769041
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2220 Girard St
San Jacinto, CA 92583-5301
Phone: (951) 683-6596
Approximate (ZIP-level) locationGet directions
Mailing address
5870 Arlington Ave
Riverside, CA 92504-2037
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.