Individual provider Active NPI

Angelo Armani Smith, PA-C

  • Medical Physician Assistant
  • Van Nuys, CA
National Provider Identifier
1760076350
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA62030 Issued in CA
Practice address
6815 Noble Ave
Van Nuys, CA 91405-3796
Phone
(818) 901-6600
NPI assigned
Feb 24, 2021
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 PA62030 CA Primary

Addresses

Primary practice location

6815 Noble Ave
Van Nuys, CA 91405-3796

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1200 W Main St Ste 101
Turlock, CA 95380-5107
Phone (209) 384-6486

Other practice location 2

269 S San Pedro St
Los Angeles, CA 90012-3808
Phone (213) 947-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211115002119 OR Practitioner - Physician Assistant 2466841341 Reassigns benefits to 1 organization
I20230306001427 CA Practitioner - Physician Assistant 2466841341 Reassigns benefits to 3 organizations
I20240508000749 MI Practitioner - Physician Assistant 2466841341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
Clinicas del Camino Real IncGroup PAC ID 3173434396, shared by 16 NPIs, 99 clinicians

Practice addresses (Care Compare)

1120 W Washington Blvd
Suite 100
Los Angeles, CA 90015-3316
Phone (213) 729-0078

2100 Statham Blvd
Oxnard, CA 93033-3901
Phone (805) 330-8680

2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900

242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (310) 652-2300

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

269 S San Pedro St
Los Angeles, CA 90012-3808
Phone (213) 947-3600

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

500 E Main St
Santa Paula, CA 93060-2607
Phone (805) 933-0895

5717 Melrose Ave
Los Angeles, CA 90038-3807
Phone (323) 957-2273

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

801 Cooper Rd
Oxnard, CA 93030-5445
Phone (805) 330-8100

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62030CAMDPharmacist
PA62030CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Apr 14, 2025 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Apr 14, 2025 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Sep 11, 2023 Accepting new patients
Exer Medical Corporation CurrentSince Nov 1, 2025 Accepting new patients
Icco LLC CurrentSince Sep 11, 2023 Accepting new patients
Simmons Medical Group South Inc Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

1040 Flynn Rd
Camarillo, CA 93012
Phone (805) 673-3930

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

Interoperability endpoints

  • Direct secure messaging: angelo.smith.p1@direct.clinicas.nextgenshare.com
  • Direct secure messaging: asmith684128@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1760076350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-901-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953805107",
            "country_code": "US",
            "telephone_number": "209-384-6486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123808",
            "country_code": "US",
            "telephone_number": "213-947-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELO",
        "middle_name": "ARMANI",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA62030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.