Active NPI
Valley Smile Medical Center, Inc
- Chiropractor
- Reseda, CA
National Provider Identifier
1477650091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29321
- Legal business name
- VALLEY SMILE MEDICAL CENTER, INC
- Practice address
- 18107 Sherman Way
Suite 211
Reseda, CA 91335-4582 - Phone
- (818) 343-2775
- Fax
- (818) 343-2764
- NPI assigned
- Sep 17, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jimmy J Bae, D.C.
- Title
- Secretary
- Phone
- (818) 343-2775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29321 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A93050 | CA |
Addresses
Primary practice location
18107 Sherman Way
Suite 211
Reseda, CA 91335-4582
Mailing address
18107 Sherman Way
Suite 211
Reseda, CA 91335-4582
Phone (818) 343-2775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346351517 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- La Palma, CA
- NPI 1780659326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1477650091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18107 SHERMAN WAY",
"address_2": "SUITE 211",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354582",
"telephone_number": "818-343-2775",
"fax_number": "818-343-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18107 SHERMAN WAY",
"address_2": "SUITE 211",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354582",
"telephone_number": "818-343-2775",
"fax_number": "818-343-2764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY SMILE MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BAE",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "818-343-2775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29321",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A93050",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346351517",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
- Martin O Valdez
- Valley Good Family Medical Center, a Professional Corporation
- Valley Manor Board and Care Inc
- Valley Multi Specialty Surgery Center
- Valley Optometry Eyecare Center, Inc. (Valley Optometry Eyecare)
- Valley Vascular Institute, PC
- Valley Vascular Partners Inc
- Valley Village
- Valverde
- Shannon Renee Vanderberg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.