Individual provider Active NPI

Claudia Ramos-Smulevich, M.D

  • Pediatrics Physician
  • Hawthorne, CA
National Provider Identifier
1811980634
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A 52678 Issued in CA
Practice address
4455 W 117TH St Ste 300
Hawthorne, CA 90250-2240
Phone
(310) 645-0444
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A 52678 CA Primary

Addresses

Primary practice location

4455 W 117TH St Ste 300
Hawthorne, CA 90250-2240

Mailing address

4455 W 117TH St Ste 300
Hawthorne, CA 90250-2240
Phone (310) 645-0444

Other names 1

  • Claudia Ramos Professional name

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
I20081016000147 CA Practitioner - Pediatric Medicine 1052479243 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52678CAMDPharmacist
A 52678CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Community Clinic CurrentSince May 29, 2023 Accepting new patients
Northeast Community Clinic Pediatrics Current Accepting new patients
Northeast Community Clinic CurrentSince May 29, 2023 Accepting new patients
Children's Hospital Los Angeles Mental Health Past Accepting new patients

Locations

2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900

4455 W 117th St
Ste 300
Hawthorne, CA 90250
Phone (310) 645-0444

1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1811980634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST STE 300",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502240",
            "telephone_number": "310-645-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST STE 300",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502240",
            "telephone_number": "310-645-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-SMULEVICH",
        "first_name": "CLAUDIA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A 52678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "RAMOS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.