Oscar Delbert Miles-Smith Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13036 Issued in CA

Practice address

2051 Marengo Street
Lac Usc Medical Center, Ipt Room C1A113
Los Angeles, CA 90033

Phone

(323) 409-6715

Fax

(323) 441-8309

NPI assigned

Jan 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Oscar Delbert Smith Jr. Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Culver Emergency Medical Group

  • Emergency Medicine Physician
  • Culver City, CA
  • NPI 1699907923
  Medicare reassignment
• Victory Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1932402716
  Medicare reassignment

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1336295526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARENGO STREET",
            "address_2": "LAC USC MEDICAL CENTER, IPT ROOM C1A113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6715",
            "fax_number": "323-441-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO STREET",
            "address_2": "LAC USC MEDICAL CENTER, IPT ROOM C1A113",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6715",
            "fax_number": "323-441-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES-SMITH",
        "first_name": "OSCAR",
        "middle_name": "DELBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSCAR",
            "last_name": "SMITH",
            "middle_name": "DELBERT",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blayne Keith Milburn
• Clint N Milby
• Hannah Milch, M.D.
• Mario Milch, MD
• Amanda Milder
• Alan Miles
• Andrea Miles, FNP
• Ashlyn Elizabeth Miles
• Autumn Jailyn Miles
• Ben Miles

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.