Samuel P Smith MD . Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A41530 Issued in CA

Legal business name

SAMUEL P SMITH MD . INC

Practice address

1127 Wilshire Blvd
Suite 1415
Los Angeles, CA 90017-3901

Phone

(213) 482-9311

Fax

(213) 250-3092

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Samuel Penney Smith, MD

Title

President

Phone

(213) 482-9311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1144567447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 1415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174005",
            "telephone_number": "213-482-9311",
            "fax_number": "213-250-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 1415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "213-482-9311",
            "fax_number": "213-250-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL P SMITH MD . INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PENNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-482-9311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.