Organization Active NPI

Valley Smile Medical Center, Inc

  • Chiropractor
  • Reseda, CA
National Provider Identifier
1477650091
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29321 Issued in CA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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.NPI 1780659326
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29321 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1346351517OtherCANPI

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.