Dwight H. Smith, M.D., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DWIGHT H. SMITH, M.D., INC

Practice address

1711 W Temple St
7TH Floor
Los Angeles, CA 90026-5421

Phone

(213) 413-0001

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwight Smith, M.D.NPI 1346384864

Title

President

Phone

(323) 678-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Smith, M.D.

  • Ophthalmology Physician
  • Inglewood, CA
  • NPI 1346384864
  Medicare reassignment NPD Authorized official
• Bogard Chang, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1487752168
  NPD (past)
• Jo Ann Pullen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1225005663
  NPD (past)
• Baohua Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1548305683
  NPD (past)
• Dominic Patawaran, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1902873342
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942338876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011707",
            "telephone_number": "332-678-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "7TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT H. SMITH, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-678-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C378540",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C378541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marika Katherine Dvorak
• Timothy Dvorak, MA
• Dalia H. Dvoretsky, R.D.
• DW Cho Dental Corporation (Allstar Dental Group)
• Craig Dwelling
• Dwight W. Malone, M.D., Inc
• Mark Dwight, M.D.
• Ian Dworkin
• Benjamin Dworkis
• Daniel A Dworkis, M.D., PH.D.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.