Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164424479 Deactivated / Inactive NPI Male Practitioner

Dr. Eldene Arne Smith , MD

Specialist • Yucca Valley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eldene Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2005
NPI Deactivation Date January 23, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Eldene Smith, MD was a registered Specialist practicing in Yucca Valley, CA. Throughout an active medical career spanning 20 years, Dr. Smith provided care at the practice location at 57463 TWENTY-NINE PALMS HIGHWAY until profile deactivation on 2025-01-23.

Practice Location & Contact Primary Location

Practice Address

57463 Twenty-Nine Palms Highway
Suite 203

Yucca Valley, CA 92284

Telephone 7602281855
Fax 7602281897
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Yucca Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Yucca Valley, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A38944

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brett Hulbert

Family Medicine

NPI 1588193031
Michelle Weaver , NP

Nurse Practitioner - Family

NPI 1679669147

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 23, 2025

Record deactivated on January 23, 2025

NPI Profile Active February 14, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 14, 2013

Registered at 57463 TWENTY-NINE PALMS HIGHWAY, SUITE 203, YUCCA VALLEY, CA 92284 (Tel: 7602281855)

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Updated Business Mailing Address February 14, 2013

Registered at 57463 TWENTY-NINE PALMS HIGHWAY, SUITE 203, YUCCA VALLEY, CA 92284 (Tel: 7602281855)

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Provider Name / Credentials Updated February 14, 2013

Recorded as ELDENE SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2013

Specialist (License #A38944 in CA)

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Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164424479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: February 14, 2013
Deactivation Date: January 23, 2025

Mailing Address

57463 Twenty-Nine Palms Highway, Suite 203

Yucca Valley, CA 92284

Phone: 7602281855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.