Active NPI
Dianna Smith, NP-C
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95005439
- Practice address
- 10884 Santa Monica Blvd FL 3
Los Angeles, CA 90025-7638 - Phone
- (310) 446-4400
- Fax
- (310) 446-4408
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95005439 | CA | Primary |
| Registered Nurse | 163W00000X | 841765 | CA |
Addresses
Primary practice location
10884 Santa Monica Blvd FL 3
Los Angeles, CA 90025-7638
Mailing address
6640 Kentwood Bluffs Dr
Los Angeles, CA 90045-1259
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.03 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 33.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J M Geiss DO Apc | Current | Accepting new patients | |
| Ocean Point Physical Therapy Inc | Current | Accepting new patients |
Locations
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
410 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 540-8333
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Organizations & group practices 3
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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Physical Therapy Clinic/Center
- Redondo Beach, CA
- NPI 1831432657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1033654447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 KENTWOOD BLUFFS DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10884 SANTA MONICA BLVD FL 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257638",
"telephone_number": "310-446-4400",
"fax_number": "310-446-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIANNA",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005439",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "841765",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.