NPIMap

Individual provider Active NPI

Craig Michael Smith, M.D.

  • Surgery Physician
  • Inglewood, CA
National Provider Identifier
1922190131
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G68588 Issued in CA
Practice address
501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504
Phone
(310) 673-4900
Fax
(310) 673-1319
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G68588 CA Primary

Addresses

Primary practice location

501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504

Mailing address

501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504
Phone (310) 673-4900

Other identifiers 1

IdentifierTypeStateIssuer
GR0078930OtherCAMEDICAL GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001502 CA Practitioner - General Surgery 7719886639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shorr and Smith MDSGroup PAC ID 7911806823, 2 clinicians

Practice addresses (Care Compare)

501 E Hardy St
210 Shorr and Smith MD
Inglewood, CA 90301-4093
Phone (310) 673-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68588CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shorr & Smith MDS Surgery CurrentSince Jul 1, 1994 Accepting new patients
Beach District Surgery Center LP PastSince Nov 22, 2004 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Little Company of Mary Affiliated Services Inc Surgery Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

9808 Venice Blvd
Culver City, CA 90232
Phone (310) 733-4171

9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

501 E Hardy St
Ste 210
Inglewood, CA 90301
Phone (310) 673-4900

4644 Lincoln Blvd
Ste 400
Marina del Rey, CA 90292
Phone (310) 338-9002

22930 Crenshaw Blvd
Ste D
Torrance, CA 90505
Phone (310) 530-4200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1922190131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EAST HARDY STREET",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014504",
            "telephone_number": "310-673-4900",
            "fax_number": "310-673-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EAST HARDY STREET",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014504",
            "telephone_number": "310-673-4900",
            "fax_number": "310-673-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G68588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GROUP NUMBER",
            "identifier": "GR0078930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.