Smith Medical Management

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

A122580 Issued in CA

Legal business name

SMITH MEDICAL MANAGEMENT

Practice address

2953 Palm Grove Ave
Los Angeles, CA 90016

Phone

(213) 364-1263

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Elda Magaly Pineda

Title

Partner

Phone

(213) 364-1263

Specialties & licenses 1

Addresses

Other names 1

• Smith Medical Billing Doing business as

Tax ID family

Smith Medical Billing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smith Medical Management

  • Exclusive Provider Organization
  • Los Angeles, CA
  • NPI 1073918033
  NPD tax ID

Locations

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1801299136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7985 SANTA MONICA BLVD",
            "address_2": "109-215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "213-364-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 PALM GROVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90016",
            "telephone_number": "213-364-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "ELDA",
        "authorized_official_middle_name": "MAGALY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-364-1263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A122580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Medical Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smith & Obrien Psychiatric Group Inc
• Leona Smith Di Faustino, LCSW
• Smith Integrative Licensed Clinical Social Worker Services, Inc.
• Sherene Smith Irving
• Smith Medical Management
• Smith Pharmacy Inc
• Byron Smith Sr. Sr.
• Heather Smith Wingren
• Tahira Ayanna Smith-Aifesehi, CRNA
• Donald Smith-Arizmendi, PHARMD

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.