Samuel Penney Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A4150 Issued in CA

Practice address

1127 Wilshire Blvd Ste 1415
Los Angeles, CA 90017-4005

Phone

(213) 482-9312

NPI assigned

Nov 29, 2006

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Attain Health Home Health, Inc. Home health agency, Redondo Beach, CA, CCN 553140

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith & Obrien Psychiatric Group Inc

  dba In-Home Psychiatric Services

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1124613849
  Medicare reassignment Authorized official
• New Horizons Behavioral Health

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1316962269
  NPD (past) Authorized official
• Volta Medical Group

  • Primary Care Clinic/Center
  • Jurupa Valley, CA
  • NPI 1245972306
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Attain Health Home Health Inc

  • Home Health Agency
  • Redondo Beach, CA
  • NPI 1619388808
  Care Compare affiliation

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1295802700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174005",
            "telephone_number": "310-864-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174005",
            "telephone_number": "213-482-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMUEL",
        "middle_name": "PENNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A4150",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodwell Arthur Smith
• Sabrena Anne Smith
• Samantha Smith, FNP
• Samantha Smith
• Sammie Smith
• Sandra M Smith
• Sanea Smith
• Sarah Smith
• Sarah Maria Smith, LM, CPM
• Sasha Smith

• 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 Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.