L'Tanya D Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16094 Issued in CA

Practice address

6767 W Sunset Blvd Ste 14
Los Angeles, CA 90028-7152

Phone

(323) 465-5090

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Outreach Medical Services

  • Community Health Clinic/Center
  • Santa Ana, CA
  • NPI 1487947842
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871627323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 DAMASK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561729",
            "telephone_number": "323-294-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W SUNSET BLVD STE 14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287152",
            "telephone_number": "323-465-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "L'TANYA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristel Smith
• Kristen Smith, LCSW
• Kristine Elena Smith
• Kyle P. Smith, M.D.
• Kylie Kathleen Smith, PA-C
• Lashawn Smith
• Latesia Ann Smith
• Latrell Smith
• Laura Smith, PSY.D.
• Laura May Smith, RCP

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.