NPIMap

Individual provider Active NPI

Blair Smart, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1548622194
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A155237 Issued in CA
Practice address
Usc General Surgery Residency Program
1520 San Pablo Street
Los Angeles, CA 90033-5330
Phone
(989) 878-0093
NPI assigned
Mar 23, 2016
Last updated
Jul 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A155237 CA Primary

Addresses

Primary practice location

Usc General Surgery Residency Program
1520 San Pablo Street
Los Angeles, CA 90033-5330

Mailing address

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

Other practice location 1

1105 W Vernon Park Pl Unit D
Chicago, IL 60607-3453
Phone (989) 878-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131001946 CA Practitioner - Internal MedicinePractitioner - General Surgery 5496092215 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Rush Medical College of Rush University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90032
Phone (626) 215-7356

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
62.65

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue200
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Trauma Surgeons, Inc. CurrentSince Aug 16, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Dec 1, 2018 Accepting new patients
Pih Health Physicians CurrentSince Sep 10, 2022 Accepting new patients
Blair Smart MD Surgery CurrentSince Aug 4, 2025 Accepting new patients
Pih Health Physicians CurrentSince Sep 10, 2022 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

14900 Imperial Hwy
La Mirada, CA 90638
Phone (559) 627-6363

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1245 Wilshire Blvd
Ste 101
Los Angeles, CA 90017
Phone (213) 977-2360

1245 Wilshire Blvd
Ste 905
Los Angeles, CA 90017
Phone (213) 977-1211

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: blairsmart@pihh.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1548622194",
    "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": "USC GENERAL SURGERY RESIDENCY PROGRAM",
            "address_2": "1520 SAN PABLO STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335330",
            "telephone_number": "989-878-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 W Vernon Park Pl Unit D",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606073453",
            "country_code": "US",
            "telephone_number": "989-878-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A155237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.