Blair Smart MD

Organization Active NPI Surgery Physician · Los Angeles, CA

NPI 1487546636 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1487546636
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
BLAIR SMART MD
Practice address
4322 Garden Homes Ave
Los Angeles, CA 90032-1110
Phone
(989) 878-0093
NPI assigned
Jul 21, 2025
Organization subpart
No

Authorized official

Name
Dr. Blair Smart, MD NPI 1548622194
Title
Ceo
Phone
(989) 878-0093

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250930000755 CA Part B Supplier - Clinic/Group Practice 1557867561 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA; La Mirada, CA; Whittier, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

4322 Garden Homes Ave
Los Angeles, CA 90032-1110

Mailing address

4322 Garden Homes Ave
Los Angeles, CA 90032-1110
Phone (989) 878-0093

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2025.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1487546636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 GARDEN HOMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321110",
            "telephone_number": "989-878-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 GARDEN HOMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321110",
            "telephone_number": "989-878-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR SMART MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-878-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.