Active NPI
Leslie Jayne' Smith, FNP-C
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95022160
- Practice address
- 2018 W 80TH St
Los Angeles, CA 90047-2610 - Phone
- (323) 333-6448
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95022160 | CA | Primary |
Addresses
Primary practice location
2018 W 80TH St
Los Angeles, CA 90047-2610
Mailing address
2851 W 120TH St Ste E574
Hawthorne, CA 90250-3395
Phone (323) 333-6448
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777
2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022160 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Im-FSR Inc. | Current | Accepting new patients | |
| Hospitalist Group of Montebello Inc | Current | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
- Hospitalist Physician
- Chino Hills, CA
- NPI 1154742229
-
- Hospitalist Physician
- Corona, CA
- NPI 1932068640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1730807884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 W 120TH ST STE E574",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503395",
"telephone_number": "323-333-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 W 80TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900472610",
"telephone_number": "323-333-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LESLIE",
"middle_name": "JAYNE'",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95022160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.