Individual provider Active NPI

Christine Sue Smith, D.C.

  • Chiropractor
  • South Pasadena, CA
National Provider Identifier
1083649396
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25383 Issued in CA
Practice address
1017 Fremont Ave
Suite a
South Pasadena, CA 91030-3224
Phone
(626) 441-4888
Fax
(626) 441-5680
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25383 CA Primary

Addresses

Primary practice location

1017 Fremont Ave
Suite a
South Pasadena, CA 91030-3224

Mailing address

1017 Fremont Ave
Suite a
South Pasadena, CA 91030-3224
Phone (626) 441-4888

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ05199ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000953 CA Practitioner - Chiropractic 7618144106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Pujayana Chiropractic IncGroup PAC ID 8022044098, 2 clinicians

Practice addresses (Care Compare)

1017 Fremont Ave
Suite a
S Pasadena, CA 91030-3224
Phone (626) 441-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25383CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pujayana Chiropractic Inc Chiropractor CurrentSince Mar 24, 2003 Accepting new patients

Locations

1017 Fremont Ave
Ste A
South Pasadena, CA 91030
Phone (626) 441-4888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1083649396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FREMONT AVE",
            "address_2": "SUITE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303224",
            "telephone_number": "626-441-4888",
            "fax_number": "626-441-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FREMONT AVE",
            "address_2": "SUITE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303224",
            "telephone_number": "626-441-4888",
            "fax_number": "626-441-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05199Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.