Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649199456

Justin Smith is a Student in an Organized Health Care Education/Training Program in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472
Phone: (707) 571-5581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649199456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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