Kent W Small, MD a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KENT W SMALL, MD A MEDICAL CORPORATION

Practice address

501 North Orange Street
Suite 250
Glendale, CA 91203-1971

Phone

(818) 552-5040

Fax

(818) 552-5044

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kent W Small, M.D.NPI 1861470783

Title

President

Phone

(818) 552-5040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kent W Small, MD

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1861470783

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Yifan Lu

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1861028805

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1699947796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NORTH ORANGE STREET",
            "address_2": "SUITE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031971",
            "telephone_number": "818-552-5040",
            "fax_number": "818-552-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NORTH ORANGE STREET",
            "address_2": "SUITE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031971",
            "telephone_number": "818-552-5040",
            "fax_number": "818-552-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT W SMALL, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-552-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Kelley, MD
• Kristin Nicole Kellim, M.P.T.
• Rophine Moriah Kenfack, DAOM
• Kenneth Road Pharmacy Inc
• Kent Candelora, PHD, a Psychological Corporation
• Julie Dawn Kenworth-Caragio, LMFT
• Maral Keosseian
• Freda Kerikorian
• Kerri S. Parks, M. D., a Professional Medical Corporation
• Ramesh C. Kesavalu, M.D.

• Ophthalmology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.