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
- Title
- Ceo
- Phone
- (989) 878-0093
Practitioners 3
-
Blair Smart, MD
-
Nima Nassiri, M.D.
-
Raelene Zospah, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
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
{
"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
- Regina Roschele Blaine
- Robyn Day Blaine
- Blair Bishop, Licensed Marriage & Family Therapist
- Blair C. Filler, M.D., Inc.
- George Arthur Blair II
- Brent Blair
- Cara Jeanette Blair
- Cassidy F Blair
- Cherie Blair
- Madison Blair
All providers in Los Angeles, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.