NPIMap

Organization Active NPI

Southern California Center for Occupational Orthopaedics

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1790847895
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G059151 Issued in CA
Legal business name
SOUTHERN CALIFORNIA CENTER FOR OCCUPATIONAL ORTHOPAEDICS
Practice address
6221 Wilshire Blvd Ste 419
Los Angeles, CA 90048-5224
Phone
(323) 932-1654
Fax
(323) 932-0460
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Michael Douglas Smith, M.D.NPI 1831229509
Title
Doctor
Phone
(323) 932-1654

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 G059151 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd Ste 419
Los Angeles, CA 90048-5224

Mailing address

6221 Wilshire Blvd Ste 419
Los Angeles, CA 90048-5224
Phone (323) 932-1654

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1790847895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485224",
            "telephone_number": "323-932-1654",
            "fax_number": "323-932-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485224",
            "telephone_number": "323-932-1654",
            "fax_number": "323-932-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CENTER FOR OCCUPATIONAL ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-932-1654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G059151",
            "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 Jan 18, 2022; 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.