Roberta J Smith M D a Medical Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G17205 Issued in CA

Legal business name

ROBERTA J SMITH M D A MEDICAL CORPORATION

Practice address

970 Monument St Ste 210
Pacific Palisades, CA 90272-3891

Phone

(310) 459-4321

Fax

(310) 459-5436

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Monica M Wenzel

Title

Biller

Phone

(310) 915-9154

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Roberta J Smith, MD

  • Internal Medicine Physician
  • Pacific Palisades, CA
  • NPI 1164532750
  Medicare reassignment

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1609191105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST STE 210",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST STE 210",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723891",
            "telephone_number": "310-459-4321",
            "fax_number": "310-459-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA J SMITH M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "310-915-9154"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G17205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reino Labs, LLC
• Patricia Reiter Whatley
• Susan Foster Reynolds, MD
• Robert M Kahn MD Inc
• Robert M. Kahn MD Inc
• Sarah Rodriguez
• Rhona Rosenblatt
• Jane Roth
• Rose-Emily Rothenberg, MFT
• Leslie Rottman, LMFT

• Nephrology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.