SMILE PEDIATRIC THERAPY AND DIAGNOSTICS (NPI# 1164797825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164797825 |
| Entity Type | Organization |
| Organization Name | SMILE PEDIATRIC THERAPY AND DIAGNOSTICS |
| Practice Address |
5000 W Sunset Blvd Ste 510 Los Angeles CA 90027-5864 |
| Practice Telephone | 3236449380 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | TONY HAJJAR (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 3236449380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861895401 | Smile Pediatric Therapy and Diagnostics | Clinic/Center | 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 | 2014-09-26 |
| 1396038642 | Smile Pediatric Therapy and Diagnostics | Early Intervention Provider Agency | 5000 W Sunset Blvd, Suite 510, Los Angeles, CA 90027-5861 | 2011-05-19 |
| Street Address |
5000 W SUNSET BLVD STE 510 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689948333 | Judy Tran | Occupational Therapist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2012-02-28 |
| 1811373756 | Pamela Jacobson | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2015-08-03 |
| 1861870578 | Rebbecca Lennon | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2015-05-13 |
| 1669859062 | Mahan Farizi | Specialist/Technologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2015-05-05 |
| 1346627718 | Richard Helvie | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2015-05-05 |
| 1750780920 | Shawna Kim | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2014-08-13 |
| 1962821975 | Elana Lo | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2014-04-08 |
| 1205252665 | Smile Pediatric Therapy & Diagnostics | Clinic/Center | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2014-03-10 |
| 1568886752 | Smile Pediatric Therapy & Diagnostics | Speech-Language Pathologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2014-02-10 |
| 1477988905 | Castine Michelle Oneal | Specialist/Technologist | 5000 W Sunset Blvd Ste 510, Los Angeles, CA 90027-5864 | 2013-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447584065 | Centre of Positive Essentials, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8391 Beverly Blvd, Pmb 437, Los Angeles, CA 90048-2633 | 2009-09-29 |
| 1093934101 | Shutes & Lee, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1443 S Genesee Ave, Los Angeles, CA 90019-3702 | 2007-04-25 |
| 1164641270 | Shutes & Lee, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1857 S Hayworth Ave, Los Angeles, CA 90035-4619 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589959 | Mcnamar Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2743 Lowell Dr, Chico, CA 95973-7216 | 2020-08-18 |
| 1386277747 | Trilogy Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1989 Edgeview Dr, San Jose, CA 95122-4020 | 2020-02-13 |
| 1093257545 | Casa Edithafoundation Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 N Hill Ave, Pasadena, CA 91104-1429 | 2016-11-15 |
| 1336696046 | Mj Asset Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 W Merced Ave, West Covina, CA 91790-3904 | 2016-09-10 |
| 1639571599 | New Providence Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5167 G St, Chino, CA 91710-5143 | 2014-09-23 |
| 1427459700 | Good Samaritan Special Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42612 35th St W, Lancaster, CA 93536-4105 | 2014-09-05 |
| 1699107581 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Dr, Sun Valley, CA 91352-3648 | 2013-08-02 |
| 1790126423 | Contemporary Behavior Consultants, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8032 E Bynum St, Long Beach, CA 90808-3231 | 2013-07-10 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1073868279 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Drive, Sun Valley, CA 91352-3648 | 2012-07-13 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on SMILE PEDIATRIC THERAPY AND DIAGNOSTICS.
| 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.