Denise a.B. Smith M.D., PH.D., PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A131396 Issued in CA

Legal business name

DENISE A.B. SMITH M.D., PH.D., PC

Practice address

833 Auto Center Dr Ste Dande
Palmdale, CA 93551-4488

Phone

(513) 479-5186

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Denise A.B. Smith, M.D., PH.D.

Title

Ceo/Vascular Surgeon

Phone

(513) 479-5186

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1992101083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 AUTO CENTER DR STE DANDE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 AUTO CENTER DR STE DANDE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514488",
            "telephone_number": "513-479-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE A.B. SMITH M.D., PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A.B.",
        "authorized_official_title_or_position": "CEO/VASCULAR SURGEON",
        "authorized_official_telephone_number": "513-479-5186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A131396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristabella Kay Delgado
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• Ara A Derkejian
• Desert Paradise Detox & Rehab

• Vascular Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.