Healthcare Provider Details

I. General information

NPI: 1295646461
Provider Name (Legal Business Name): JADEN DYLEN SMITH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 CANTERBURY LN
FULLERTON CA
92831-1056
US

IV. Provider business mailing address

1266 CANTERBURY LN
FULLERTON CA
92831-1056
US

V. Phone/Fax

Practice location:
  • Phone: 760-927-5351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95153764
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: