Individual provider Active NPI

Karen Felicia Smith, PA-C

  • Medical Physician Assistant
  • Mission Hills, CA
National Provider Identifier
1629217377
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10758 Issued in CA
Practice address
15340 Devonshire St Ste 8
Mission Hills, CA 91345-2760
Phone
(818) 894-9411
Fax
(818) 894-7611
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10758 CA Primary

Addresses

Primary practice location

15340 Devonshire St Ste 8
Mission Hills, CA 91345-2760

Mailing address

15340 Devonshire St Ste 8
Mission Hills, CA 91345-2760
Phone (818) 894-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003215 CA Order and Referring Only - Physician Assistant 2466769658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10758CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: karen.smithpal.p1@direct.jwch.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1629217377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 DEVONSHIRE ST STE 8",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452760",
            "telephone_number": "818-894-9411",
            "fax_number": "818-894-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 DEVONSHIRE ST STE 8",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452760",
            "telephone_number": "818-894-9411",
            "fax_number": "818-894-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "FELICIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.