Organization Active NPI

Renee Smith MD a Professional Corporation

  • Psychiatry Physician
  • Downey, CA
National Provider Identifier
1285175786
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G68298 Issued in CA
Legal business name
RENEE SMITH MD A PROFESSIONAL CORPORATION
Practice address
8301 Florence Ave Ste 301
Downey, CA 90240-3948
Phone
(562) 774-8074
Fax
(562) 861-3075
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Renee E Smith, M.D.NPI 1710030812
Title
Owner
Phone
(562) 774-8074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G68298 CA Primary

Addresses

Primary practice location

8301 Florence Ave Ste 301
Downey, CA 90240-3948

Mailing address

10267 Newville Ave
Downey, CA 90241-3036
Phone (562) 774-8074

National Provider Directory

National Provider Directory

Locations

8301 Florence Ave
Ste 301
Downey, CA 90240
Phone (562) 774-8074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1285175786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10267 NEWVILLE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413036",
            "telephone_number": "562-774-8074",
            "fax_number": "562-861-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 FLORENCE AVE STE 301",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403948",
            "telephone_number": "562-774-8074",
            "fax_number": "562-861-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE SMITH MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-774-8074",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G68298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.