Craig V Smith, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

G61164 Issued in CA

Practice address

23661 Pacific Coast Hwy
Malibu, CA 90265-4825

Phone

(310) 341-0188

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Practica Inc

  • Clinic/Center
  • Pasadena, CA
  • NPI 1952672032
  Medicare reassignment NPD
• Craig V Smith M.D. Inc.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1467644013
  NPD (past) Authorized official
• 90265 Medical Group Inc.

  • Hospitalist Physician
  • Malibu, CA
  • NPI 1487140935

  Addiction Medicine

  NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• All American Treatment Center Inc

  • Adult Mental Health Clinic/Center
  • Canoga Park, CA
  • NPI 1275405953
  NPD (past)
• Authentic Recovery, LLC.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1114173036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1023049483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 S OXFORD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181529",
            "telephone_number": "323-737-8727",
            "fax_number": "323-737-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "310-341-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16237 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362272",
            "country_code": "US",
            "telephone_number": "818-996-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6715 Melrose Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383411",
            "country_code": "US",
            "telephone_number": "323-307-7220",
            "fax_number": "213-403-4685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G61164",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G61164",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G61164",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G61164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Simpson, CNT
• Jewelene Martin Simpson, DDS
• Milica E. Simpson, M.D.
• Kerry-Ann Sleep-Frankel, MA, LCPC, LPCC
• Sleepmax
• Nakia Danielle Smith, MASSAGE THERAPIST
• Kristine Alice Smylie, MA, MA, MFT
• Katherine Sniffen, ATC
• Soba Living LLC
• Soba Outpatient and Recovery LLC

• Addiction Medicine (Internal Medicine) Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.