DR. JENNIFER ANN SMITH MD NPI 1922290519

NPI Information

NPI: 1922290519
Provider Name: DR. JENNIFER ANN SMITH, MD
Classification: Surgery - 2086S0102X
Specialization: Surgical Critical Care
Entity Type: Individual
PECOS Registration: Yes
Address: 1510 SAN PABLO STREET
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-5910

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NPI Details

DR. Jennifer Ann Smith, MD is a surgical critical care surgery in Los Angeles, CA. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Jennifer Ann Smith, MD NPI is 1922290519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1510 SAN PABLO STREET
LOS ANGELES, CA
ZIP 90033-320
Phone: (323) 442-5910
Fax: (323) 442-6888

The NPI 1922290519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 11/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		A94579	CALIFORNIA	No
2	2086S0127X	Surgery	Trauma Surgery	A94579	CALIFORNIA	No
3	2086S0102X	Surgery	Surgical Critical Care	A94579	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GB860Z	MEDICARE PIN	CALIFORNIA
2	1922290519	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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