Active NPI
Joseph Michael Smurda
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1053428706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A67100
- Practice address
- 12300 Wilshire Blvd
Suite 330
Los Angeles, CA 90025-1020 - Phone
- (310) 820-3333
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A67100 | CA | Primary |
Addresses
Primary practice location
12300 Wilshire Blvd
Suite 330
Los Angeles, CA 90025-1020
Mailing address
12300 Wilshire Blvd
Suite 330
Los Angeles, CA 90025-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A671000 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 23, 2019 through Apr 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67100 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- jsmurda48558@direct.uclahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053428706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 WILSHIRE BLVD",
"address_2": "SUITE 330",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 WILSHIRE BLVD",
"address_2": "SUITE 330",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251020",
"telephone_number": "310-820-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMURDA",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A67100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "00A671000",
"state": "CA"
}
],
"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 Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.