Organization Active NPI

Martin L. Smith, DPM, Corp.

  • Podiatric Clinic/Center
  • Gardena, CA
National Provider Identifier
1093964132
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E4782 Issued in CA
Legal business name
MARTIN L. SMITH, DPM, CORP.
Practice address
1141 W Redondo Beach Blvd
Suite 200
Gardena, CA 90247-3586
Phone
(310) 515-8155
NPI assigned
Sep 13, 2008
Last updated
Sep 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

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

Authorized official

Name
Dr. Martin Landon Smith, D.P.M.
Title
Podiatrist
Phone
(623) 734-3138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E4782 CA Primary

Addresses

Primary practice location

1141 W Redondo Beach Blvd
Suite 200
Gardena, CA 90247-3586

Mailing address

1141 W Redondo Beach Blvd
Suite 200
Gardena, CA 90247-3586
Phone (310) 515-8155

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 200
Gardena, CA 90247
Phone (310) 516-0655

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221264000000",
    "number": "1093964132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 200",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-515-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 200",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-515-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN L. SMITH, DPM, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-13",
        "last_updated": "2008-09-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "623-734-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.