Smiley, O'Donnell & Fitzgibbons

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SMILEY, O'DONNELL & FITZGIBBONS

Practice address

1245 Wilshire Blvd
Suite 905
Los Angeles, CA 90017-4810

Phone

(213) 977-1211

Fax

(213) 977-0625

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terrence Fitzgibbons, M.D.NPI 1285740464

Title

Partner

Phone

(213) 977-1211

Specialties & licenses 1

Addresses

Other names 1

• Smiley, O'Donnell, Fitzgibbons, Heartfield Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrence John Fitzgibbons, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1285740464
  Medicare reassignment Authorized official
• Wesley Randolph Heartfield, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1134236516
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1891802294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-977-1211",
            "fax_number": "213-977-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-977-1211",
            "fax_number": "213-977-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY, O'DONNELL & FITZGIBBONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBONS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-977-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiley, O'Donnell, Fitzgibbons, Heartfield",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.