Organization Active NPI

Richard C. Smith, M.D. a Professional Corporation

  • Specialist
  • San Pedro, CA
National Provider Identifier
1720126089
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C31822 Issued in CA
Legal business name
RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION
Practice address
1350 W 6TH St
Suite 2
San Pedro, CA 90732-3544
Phone
(310) 833-2428
Fax
(310) 833-7850
NPI assigned
Feb 1, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Richard Charles Smith, M.D.NPI 1801857453
Title
Pres.
Phone
(310) 833-2428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C31822 CA Primary

Addresses

Primary practice location

1350 W 6TH St
Suite 2
San Pedro, CA 90732-3544

Mailing address

1350 W 6TH St
Suite 2
San Pedro, CA 90732-3544
Phone (310) 833-2428

National Provider Directory

National Provider Directory

Locations

1350 W 6th St
Ste 2
San Pedro, CA 90732
Phone (310) 802-3219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1720126089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "SUITE 2",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323544",
            "telephone_number": "310-833-2428",
            "fax_number": "310-833-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "SUITE 2",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323544",
            "telephone_number": "310-833-2428",
            "fax_number": "310-833-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "310-833-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C31822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.