Organization Active NPI

SMG Medical Practice Group PC

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1356254908
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SMG MEDICAL PRACTICE GROUP PC
Practice address
2900 W 8TH St
Los Angeles, CA 90005-1524
Phone
(213) 382-7022
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SMG MEDICAL PRACTICE GROUP PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Internal Medicine Physician 207R00000X NU Primary
Nephrology Physician 207RN0300X NU

Addresses

Primary practice location

2900 W 8TH St
Los Angeles, CA 90005-1524

Mailing address

520 S Virgil Ave Ste 507
Los Angeles, CA 90020-1452

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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": "1356254908",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051524",
            "telephone_number": "213-382-7022"
        }
    ],
    "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.