NPIMap

Organization Active NPI

Smile Pediatric Therapy and Diagnostics

  • Occupational Medicine Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1861895401
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
14597 Issued in CA
Legal business name
SMILE PEDIATRIC THERAPY AND DIAGNOSTICS
Practice address
5000 W Sunset Blvd
Los Angeles, CA 90027-5861
Phone
(323) 644-9380
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Madeleine Jay Haas, M.S., OTR/L
Title
Occupational Therapist
Phone
(562) 652-1593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 14597 CA Primary

Addresses

Primary practice location

5000 W Sunset Blvd
Los Angeles, CA 90027-5861

Mailing address

11854 Beverly Dr
Whittier, CA 90601-2737
Phone (562) 652-1593

National Provider Directory

National Provider Directory
Tax ID family
Smile Pediatric Therapy and Diagnostics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

5000 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2153

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1861895401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11854 BEVERLY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012737",
            "telephone_number": "562-652-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-644-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PEDIATRIC THERAPY AND DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "562-652-1593",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "14597",
            "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 Sep 26, 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.