Individual provider Active NPI

Ronald W Smith, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Long Beach, CA
National Provider Identifier
1801899398
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
A82278 Issued in CA
Practice address
2840 Long Beach Blvd
#440
Long Beach, CA 90806-1590
Phone
(562) 424-9444
Fax
(562) 988-0309
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X A82278 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
#440
Long Beach, CA 90806-1590

Mailing address

3521 Lomita Blvd Ste 103
Torrance, CA 90505-5041
Phone (310) 534-9131

Other identifiers 1

IdentifierTypeStateIssuer
00A228781MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926003955 CA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9638158603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald W. Smith M.D. Inc Foot and Ankle Surgery PastSince Feb 10, 2003 Accepting new patients
South County Orthopedic Specialists Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1801899398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055041",
            "telephone_number": "310-534-9131",
            "fax_number": "310-534-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "#440",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061590",
            "telephone_number": "562-424-9444",
            "fax_number": "562-988-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A82278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A228781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.