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

Mrs. Tamika Shanae Smith

Individual provider Medical Physician Assistant · NPI 1104769041

Mrs. Tamika Shanae Smith is a Medical Physician Assistant in San Jacinto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

2220 Girard St
San Jacinto, CA 92583-5301
Phone: (951) 683-6596
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (CA)

Record details

NPI number1104769041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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