Individual provider Active NPI

Anthony Smith, M.D.

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1083175459
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A178037 Issued in CA
Practice address
1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone
(909) 469-9494
Fax
(909) 469-2120
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A178037 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027

Mailing address

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240709002597 CA Practitioner - Family Practice 0840669909 Reassigns benefits to 1 organization
I20250924001456 MD Practitioner - Family Practice 0840669909 Reassigns benefits to 1 organization
I20250924001840 DC Practitioner - Family Practice 0840669909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone (909) 469-9494

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
55.43 of 100Reported as group
Quality
13.12
Promoting interoperability
100
Improvement activities
0
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178037CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Sep 7, 2025 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Sep 7, 2025 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Sep 7, 2025 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients

Locations

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

3007 Tilden St NW
Ste 5N
Washington, DC 20008

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1083175459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A178037",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.