SMG Medical Practice Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SMG MEDICAL PRACTICE GROUP PC

Practice address

11911 Artesia Blvd Ste 101
Cerritos, CA 90701-4070

Phone

(562) 402-7622

NPI assigned

Sep 24, 2026

Organization subpart

Yes

Parent organization

SMG MEDICAL PRACTICE GROUP PCAs reported in NPPES

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

Authorized official

Name

Richard Park, MD

Title

Owner/ Ao

Phone

(999) 999-9999

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1245143882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201452",
            "telephone_number": "213-480-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD STE 101",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014070",
            "telephone_number": "562-402-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMG MEDICAL PRACTICE GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMG MEDICAL PRACTICE GROUP PC",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/ AO",
        "authorized_official_telephone_number": "999-999-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.