DR. JEFFREY BERNARD SMITH (NPI# 1457453524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457453524 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY BERNARD SMITH |
| Credential | M.D. |
| Practice Address |
10833 Le Conte Ave 12-441 Mdcc Los Angeles CA 90095-3075 |
| Practice Telephone | 3102063952 |
| Practice Fax Number | 3102060209 |
| Mailing Telephone | 3102063952 |
| Mailing Fax Number | 3102060209 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G61619 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0053510 | 05 | |
| CA | 00G616190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
| 1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
| 1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
| 1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
| 1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
| Street Address |
10833 LE CONTE AVE 12-441 MDCC |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1528055456 | Yang Kim | Pediatrics | 500 S Virgil Ave # 2047a, Los Angeles, CA 90020 | 2005-10-05 |
| 1801248588 | Neonatal Specialty Care Medical Care, Inc. | Pediatrics | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2016-07-06 |
| 1427467497 | Maria Gabriela Dominguez Garcia | Pediatrics | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2014-08-04 |
| 1205112786 | Loew-tefft Neonatal Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2011-10-27 |
| 1326335233 | Arlene Espiritu Haigh | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2011-06-30 |
| 1073804332 | Claire Elizabeth Baldauf | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-04-21 |
| 1033421920 | Sarah Renee Volz | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2010-07-08 |
| 1467788265 | Ruby George | Pediatrics | 1200 N State Street, Ird Building, Room # 820, Los Angeles, CA 90033 | 2009-10-29 |
| 1104066570 | Newborn Special Care Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2009-02-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.