Patricia D. Smith, LIC. INSURANCE AGENT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

OB78888 Issued in CA

Practice address

11436 Hawthorne Blvd., #288
Hawthorne, CA 90250

Phone

(310) 868-1423

Fax

(310) 491-0555

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1104223734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 296",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90223",
            "telephone_number": "310-868-1423",
            "fax_number": "310-491-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11436 HAWTHORNE BLVD., #288",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-868-1423",
            "fax_number": "310-491-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LIC. INSURANCE AGENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "OB78888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Mei-Li Smith, CF-SLP
• Ashley Nicole Smith, LCSW
• Denise Nicole Smith, MD
• Jessica Smith, D.C.
• Marian Denise Smith
• Louis Smolensky, MD
• Jerimiah Paxton Snyder
• Michael Soares
• Socal Surgery Center LLC
• Janet Fahem Soliman, M.D.

• Case Manager/Care Coordinator in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.