Individual provider Active NPI

Taylor Allen Smyth

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1477180917
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A185878 Issued in CA
Practice address
300 UCLA Medical PLZ Ste 2200
Los Angeles, CA 90095-5055
Phone
(310) 825-9989
Fax
(310) 267-1908
NPI assigned
Mar 25, 2020
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A185878 CA Primary

Addresses

Primary practice location

300 UCLA Medical PLZ Ste 2200
Los Angeles, CA 90095-5055

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240617001039 CA Practitioner - Psychiatry 2567841687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas at Austin Dell Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California TMS Center IncGroup PAC ID 8628430741, 6 clinicians

Practice addresses (Care Compare)

180 S Lake Ave
Suite 615
Pasadena, CA 91101-4763
Phone (626) 683-9158

2100 Sawtelle Blvd
Suite 206
Los Angeles, CA 90025-6264
Phone (866) 322-7776

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185878CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California TMS Center Inc CurrentSince Sep 18, 2024 Accepting new patients
Alcott Center for Mental Health Services CurrentSince Dec 26, 2024 Accepting new patients
Wave Psychiatric Group, PC Psychiatry Past Accepting new patients

Locations

2045 Compton Ave
Ste 205
Corona, CA 92881

940 S Coast Dr
Ste 215
Costa Mesa, CA 92626

10549 Jefferson Blvd
Culver City, CA 90232
Phone (310) 785-2121

10559 Jefferson Blvd
Ste A
Culver City, CA 90232
Phone (310) 785-2121

16055 Ventura Blvd
Ste 717
Encino, CA 91436
Phone (818) 215-0367

700 N Brand Blvd
Ste 460
Glendale, CA 91203
Phone (310) 488-0329

23832 Rockfield Blvd
Ste 130
Lake Forest, CA 92630
Phone (949) 297-6680

3711 Long Beach Blvd
Ste 910
Long Beach, CA 90807

2100 Sawtelle Blvd
Ste 206
Los Angeles, CA 90025
Phone (310) 467-5071

4221 Wilshire Blvd
Ste 455
Los Angeles, CA 90010

180 S Lake Ave
Ste 615
Pasadena, CA 91101
Phone (626) 683-9158

711 W Kimberly Ave
Ste 100
Placentia, CA 92870

10630 Town Center Dr
Ste 129
Rancho Cucamonga, CA 91730

299 W Hillcrest Dr
Ste 113
Thousand Oaks, CA 91360

3655 Torrance Blvd
Ste 240
Torrance, CA 90503

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1477180917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UCLA MEDICAL PLZ STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955055",
            "telephone_number": "310-825-9989",
            "fax_number": "310-267-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "TAYLOR",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A185878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.