NPIMap

Individual provider Active NPI

Nathanael Smith, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CA
National Provider Identifier
1760830285
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5486 Issued in CA
Practice address
5220 Clark Ave Ste 125
Lakewood, CA 90712-2623
Phone
(562) 804-1381
Fax
(562) 925-8898
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5486 CA Primary

Addresses

Primary practice location

5220 Clark Ave Ste 125
Lakewood, CA 90712-2623

Mailing address

1440 N Cambridge Ave
Upland, CA 91786-2677
Phone (626) 258-7487

Other practice location 1

120 W Cole Blvd Ste B
Calexico, CA 92231-9700
Phone (760) 890-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000850 CA Practitioner - Podiatry 1355695958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Hodor DPM IncGroup PAC ID 7012131022, 2 clinicians

Practice addresses (Care Compare)

5220 Clark Ave
Suite 125
Lakewood, CA 90712-2623
Phone (562) 804-1381

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue156
Removal of nail tissue1323
Removal or shaving of skin growth248
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5486CAMDFoot & Ankle Surgery Podiatrist
5486CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Care Clinic Apc Single Specialty CurrentSince Oct 18, 2025 Accepting new patients
Lawrence Hodor, DPM, Inc Single Specialty CurrentSince Mar 1, 2019 Accepting new patients
Lakewood Family Foot & Ankle Single Specialty Current Accepting new patients
Clinicas del Valle a Professional Corp Single Specialty CurrentSince May 1, 2025 Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

4231 US Highway 86
Ste 6
Brawley, CA 92227
Phone (760) 790-0005

120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681

801 E Birch St
Ste 5
Calexico, CA 92231
Phone (530) 220-2927

801 E Birch St
Ste 25
Calexico, CA 92231
Phone (760) 357-0337

444 S 8th St
El Centro, CA 92243
Phone (760) 678-0252

5220 Clark Ave
Ste 125
Lakewood, CA 90712
Phone (562) 804-1381

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1760830285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N CAMBRIDGE AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862677",
            "telephone_number": "626-258-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE STE 125",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122623",
            "telephone_number": "562-804-1381",
            "fax_number": "562-925-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Cole Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922319700",
            "country_code": "US",
            "telephone_number": "760-890-0190",
            "fax_number": "760-890-0160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHANAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.