Individual provider Active NPI

Shannon M. Smith, M.D.

  • Hospitalist Physician
  • Tarzana, CA
National Provider Identifier
1417246844
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C172158 Issued in CA
Practice address
18321 Clark St
Tarzana, CA 91356-3501
Phone
(310) 423-5252
Fax
(310) 423-8441
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15407 NV
Hospitalist Physician 208M00000X C172158 CA Primary

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1501
Phone (702) 304-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150303000111 NV Practitioner - Internal Medicine 2769708189 Reassigns benefits to 1 organization
I20211210001758 CA Practitioner - Internal Medicine 2769708189 Reassigns benefits to 1 organization
I20241031001760 CA Practitioner - Hospitalist 2769708189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2024 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2024 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1417246844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "310-423-5252",
            "fax_number": "310-423-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7391 W Charleston Blvd",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171501",
            "country_code": "US",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15407",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C172158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.