Active NPI
Sally Smithern, DC LAC
- Acupuncturist
- Venice, CA
National Provider Identifier
1013034263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- LAC8286
- Practice address
- 614 Venice Blvd
Venice, CA 90291 - Phone
- (310) 822-2104
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC21808 | CA | |
| Acupuncturist | 171100000X | LAC8286 | CA | Primary |
Addresses
Primary practice location
614 Venice Blvd
Venice, CA 90291
Mailing address
1446 Butler Ave
#15
Los Angeles, CA 90025
Phone (310) 444-9932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21808 | CA | MD | Chiropractor |
| LAC8286 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013034263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 BUTLER AVE",
"address_2": "#15",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-444-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 VENICE BLVD",
"city": "VENICE",
"state": "CA",
"postal_code": "90291",
"telephone_number": "310-822-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHERN",
"first_name": "SALLY",
"name_prefix": "Dr.",
"credential": "DC LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21808",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "LAC8286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.