Individual provider Active NPI

Elizabeth Anne Smalley, MD

  • Internal Medicine Physician
  • Duarte, CA
National Provider Identifier
1174596233
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C42265 Issued in CA
Practice address
931 Buena Vista St
405
Duarte, CA 91010-1712
Phone
(626) 358-8901
Fax
(626) 358-7389
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C42265 CA Primary

Addresses

Primary practice location

931 Buena Vista St
405
Duarte, CA 91010-1712

Mailing address

931 Buena Vista St
405
Duarte, CA 91010-1723
Phone (626) 358-8901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031209001126 CA Practitioner - Internal Medicine 6103722285 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42265CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 19, 2002 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Dec 19, 2002 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

931 Buena Vista St
Ste 405
Duarte, CA 91010
Phone (626) 358-0269

2025 E Route 66
Glendora, CA 91740
Phone (323) 720-1144

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

831 E Huntington Dr
Ste 101
Monrovia, CA 91016
Phone (626) 358-0269

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

Interoperability endpoints

  • Direct secure messaging: elizabethsmalley@hcpca.allscriptsdirect.net

Organizations & group practices 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1174596233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "405",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101723",
            "telephone_number": "626-358-8901",
            "fax_number": "626-358-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "405",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-358-8901",
            "fax_number": "626-358-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.